IndividualActive
Craig Ambroson, MD
NPI 1629024179 · Pediatrics Physician · Lewiston, ID
Provider details
- NPI number
- 1629024179
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M4939 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2315 8th St
Lewiston, ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Approximate (ZIP-level) locationGet directions
Mailing address
2315 8th St
Lewiston, ID 83501-7301
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2016-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.