CLEARWATER MEDICAL CENTER PLLC
Nursing at 17 St, Lewiston, ID

License number
Idaho A87025
Category
Osteopathic Medicine
Type
Family Medicine
License number
Idaho NP361A
Category
Nursing
Type
Family
License number
Idaho NP390A
Category
Nursing
Type
Family
License number
Idaho NP388A
Category
Nursing
Type
Family
License number
Idaho NP372A
Category
Nursing
Type
Family
License number
Idaho NP751A
Category
Nursing
Type
Family
License number
Idaho NP740A
Category
Nursing
Type
Family
Owner
Name: DR. CELSO R CHAVEZ MD
Title: OWNER PHYSICIAN
Phone: (208) 743-8416
Address
Address
1522 17Th St, Lewiston, ID 83501
National Provider ID: 1558452268
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CLEARWATER MEDICAL CENTER PLLC at bizstanding.com

CLEARWATER MEDICAL CENTER, P.L.L.C

1522 17 St, Lewiston, ID 83501

Industry:
Medical Doctor's Office
Doing business as:
Clearwater Medical Center, Pllc<br>Clearwater Medical Clinic
Registration:
Jan 17, 1995
Phone:
(208) 743-8416 (Phone)
State ID:
W811
Business type:
LIMITED LIABILITY COMPANY
Medical Recordss:
Jill Ball (Office Manager, Business Manager),Celso Chavez (Managing Member, Family Practitioner, Medical Director, Medical Doctor),Sheena L. Broemeling (Receptionist Secretary),...
Agent:
Celso R Chavez,1522 17 St, Lewiston, ID 83501 (Physical)

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