Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clearwater Gastroenterology

Organization Specialist · NPI 1518205715

Clearwater Gastroenterology is a Specialist in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013

Practice location Address checks out

2517 17th St Ste B
Lewiston, ID 83501-6311
Phone: (208) 743-4373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M5110 (ID)

Record details

NPI number1518205715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Dettwiler — M.D. · (208) 743-4373
NPI enumeratedJanuary 22, 2013
Last updated in NPPESJanuary 22, 2013
Mailing address2517 17th St, Suite B, Lewiston, ID 83501-6311

Other providers in Lewiston