NPI 1316090426

Affiliated Neurologists PLLC

Organisation Neurology Physician Lewiston, ID

Practice location

Address: 338 6th St Suite 102, Lewiston, ID 83501-2419
Phone: (208) 746-3320
Fax: (208) 746-8717

Authorised official

Name: Mark Randall Keane
Title: Member
Phone: (208) 746-3320

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence M7728 (ID)

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1316090426
Entity type: Organization
NPI issued: 19 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.