NPI 1306051081

Vanishing Veins of Idaho

Organisation Specialist Coeur D Alene, ID

Practice location

Address: 1859 N Lakewood Dr Suite 303, Coeur D Alene, ID 83814-2661
Phone: (208) 292-1411
Fax: (208) 292-0262

Authorised official

Name: Amy Garcia
Title: Director of Operations
Phone: (208) 292-1411

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1306051081
Entity type: Organization
NPI issued: 14 May 2007
Record last updated: 22 Aug 2020

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.