Search › Idaho › 207Q00000X
Nelson Antoniuk, MD
NPI 1588609176 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6509 Highway 2 Ste 101
Priest River, ID 83856 - Phone
- (208) 448-2321
- Fax
- (208) 448-1317
- Organisation at this address
- Priest River Dental Care
Boundary Regional Community Health Center, Inc.
Boundary Regional Community Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 810 N. Sixth Avenue, Sandpoint, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
- Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-17
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