| NPI | 1124258611 |
|---|---|
| Doing Business As | ADVANCED VEIN THERAPY |
| Entity Type | Organization |
| Authorized Contact | WAYNE BALDWIN Executive Director 208-384-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2023-10-31 |