NPI 1396828158

Theodore K Krisher, MD

Practitioner Pediatrics Physician Lewiston, ID

Practice location

Address: 2315 8th St, Lewiston, ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M3676 (ID)

Other Pediatrics providers in Idaho →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD00040584 (WA)

Registry record

NPI: 1396828158
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2006
Record last updated: 8 Mar 2016

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.