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 provides Specialist services 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 743-4373
Show map & directions

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