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1619056199
PETER L VANCE
IDAHO FALLS, ID
NPI
1619056199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M8158)
Enumeration Date
2006-11-03
Last Update Date
2016-12-20
Business Address
-- PETER L VANCE MD
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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Mailing Address
-- PETER L VANCE MD
2265 E SUNNYSIDE RD
IDAHO FALLS, ID 83404-7598
Phone number: 208-542-5000
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