CELESTE LEW
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1477479574- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 777 HOSPITAL WAY, POCATELLO, ID, 832015175
- Phone
- (208) 239-1000
- Fax
- (208) 239-1000
Specialties & Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: ID #62364
All Addresses
MAILING
1651 PETERSBURG DR
CHUBBUCK, ID, 832025271