| John A Werner Pllc | |
|
619 S Washington St Ste 303 Moscow ID 83843-3063 | |
| (208) 883-7777 | |
| Not Available |
| Full Name | John A Werner Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 619 S Washington St Ste 303, Moscow, Idaho |
| Authorized Official Name and Position | John Andrew Werner (MEMBER) |
| Authorized Official Contact | 5093044370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Werner Pllc 676 Victoria Dr Moscow ID 83843-7813 Ph: (509) 304-4370 | John A Werner Pllc 619 S Washington St Ste 303 Moscow ID 83843-3063 Ph: (208) 883-7777 |
| NPI Number | 1306190988 |
|---|---|
| Provider Enumeration Date | 11/03/2012 |
| Last Update Date | 11/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306190988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-4413 (Idaho) | Primary |
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