OrganizationActive
Affiliated Neurologists PLLC
NPI 1316090426 · Neurology Physician · Lewiston, ID
Provider details
- NPI number
- 1316090426
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Keane, Member(208) 746-3320
- License
- M7728 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
338 6th St
Suite 102
Lewiston, ID 83501-2419
Phone: (208) 746-3320
Fax: (208) 746-8717
Approximate (ZIP-level) locationGet directions
Mailing address
338 6th St
Lewiston, ID 83501-2419
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.