IDAHO VASCULAR INSTITUTE PLLC

NAMPA, ID
NPI1629007844
Entity TypeOrganization
Authorized ContactDANIEL WEGNER
Member
208-288-4620
Organization Subpart ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
Enumeration Date2006-07-01
Last Update Date2007-08-26
Business Address
IDAHO VASCULAR INSTITUTE PLLC
4400 E FLAMINGO AVE
NAMPA, ID 83687-9203
Phone number: 208-288-4620
Mailing Address
IDAHO VASCULAR INSTITUTE PLLC
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8116
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