NPI 1558974196
Robert Ernest Terrell
Practice location
- Address
- 823 Tamarack Dr APT 104, Lewiston, ID 83501-4734
- Phone
- (208) 541-4611
Registered specialties (2)
Private Vehicle
Primary
Registry record
- NPI
- 1558974196
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Aug 2020
- Record last updated
- 24 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.