William R. Bozarth, M.d., P.s.

NPI 1003137050 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1003137050
Enumeration Date 06/14/2010
Last Updated 06/14/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WILLIAM RICHTER WILLIAM
Position OWNER
Phone (208) 746-3320
Fax (208) 746-8717
Practice Location
338 6TH ST
SUITE 102
LEWISTON ID, 83501-2419, US
Phone (208) 746-3320
Fax (208) 746-8717
Business Location
338 6TH ST
SUITE 102
LEWISTON ID, 83501-2419, US
Phone (208) 746-3320
Fax (208) 746-8717
Toxanomy
Taxonomy Code 2084N0400X
License State Idaho
License Number M3626
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According to our database, William R. Bozarth, M.d., P.s. NPI is 1003137050, taxonomy code is 2084N0400X and license number is M3626, license state is located at Idaho. William R. Bozarth, M.d., P.s. physically located at 338 6th St, Lewiston ID, 83501-2419. NPI Number 1033115704 has the healthcare provider type.

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1003137050 NPI number is provided on an as is basis without warranty of any kind. 1003137050 is maintained by the National Plan & Provider Enumeration System. The contents of William R. Bozarth, M.d., P.s. are for informational purposes only.