| NPI | 1154584712 |
|---|---|
| Doing Business As | ADVANCED VEIN THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY R CLIFF Executive Director 208-384-9060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |