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Robert Terrell
NPI 1558974196 · on the registry since 2020 · sole proprietor
Practice
- Address
- 823 Tamarack Dr Apt 104
Lewiston, ID 83501 - Phone
- (208) 541-4611
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Also registered as
- 344600000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-24
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