NPI 1336917913

Treasure Valley Vein and Wound Center LLC

Organisation Surgery Physician Garden City, ID

Practice location

Address: 10557 W Carlton Bay Dr STE 106, Garden City, ID 83714-5200
Phone: (304) 617-1511

Authorised official

Name: Ashley W Bennett
Title: Owner Provider
Phone: (304) 617-1511

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Registry record

NPI: 1336917913
Entity type: Organization
NPI issued: 13 Dec 2023
Record last updated: 10 May 2024

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.