NPI 1184657389

Treasure Valley Cardiology PC

Organisation Cardiovascular Disease Physician Boise, ID

Practice location

Address: 900 N Liberty St Suite 302, Boise, ID 83704-8704
Phone: (208) 322-1686
Mailing address: PO Box 9589, Boise, ID 83707-4589

Authorised official

Name: Graham Wetherley
Title: President
Phone: (208) 322-1686

Registered specialties (2)

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence M5449 (ID)

Other Internal Medicine providers in Idaho →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NP642A (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1184657389
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 17 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.