Search › Idaho › 101YA0400X
Jacob Pannell
NPI 1396519880 · on the registry since 2023
Practice
- Address
- 1630 23rd Ave Bldg 2
Lewiston, ID 83501 - Phone
- (208) 746-7784
- Fax
- (208) 798-8652
- Organisation at this address
- Walla Walla Vamc
David M Brown, Crna Ps
Syringa Surgical Center
Lewis Clark Endoscopy, Pllc
Steven E Ozeran, M.D., P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2023-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho