| William R. Bozarth, M.d., P.s. | |
|
338 6th St Suite 102 Lewiston ID 83501-2419 | |
| (208) 746-3320 | |
| (208) 746-8717 |
| Full Name | William R. Bozarth, M.d., P.s. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 338 6th St, Lewiston, Idaho |
| Authorized Official Name and Position | William Richter Bozarth (OWNER) |
| Authorized Official Contact | 2087463320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William R. Bozarth, M.d., P.s. 338 6th St Suite 102 Lewiston ID 83501-2419 Ph: (208) 746-3320 | William R. Bozarth, M.d., P.s. 338 6th St Suite 102 Lewiston ID 83501-2419 Ph: (208) 746-3320 |
| NPI Number | 1003137050 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 06/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003137050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M3626 (Idaho) | Primary |
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