| Palouse Neurology | |
|
803 S Main St Ste 110 Moscow ID 83843-2695 | |
| (208) 813-7519 | |
| (208) 813-7524 |
| Full Name | Palouse Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 803 S Main St Ste 110, Moscow, Idaho |
| Authorized Official Name and Position | Sacha L Smith (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2088821700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palouse Neurology Po Box 847 Pullman WA 99163-0847 Ph: (509) 330-5607 | Palouse Neurology 803 S Main St Ste 110 Moscow ID 83843-2695 Ph: (208) 813-7519 |
| NPI Number | 1407499445 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407499445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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