NPI 1366182255

Canyon Ofp, PLLC

Organisation Ophthalmic Plastic and Reconstructive Surgery Physician Nampa, ID

Practice location

Address: 4405 E Flamingo Ave, Nampa, ID 83687-3113
Phone: (208) 285-6282
Mailing address: 490 E Sunnyridge CT, Boise, ID 83702-6542

Authorised official

Name: Caroline Wingsy Vargason
Title: Sole Member
Phone: (208) 901-8749

Registered specialties

Ophthalmic Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0200X

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1366182255
Entity type: Organization
NPI issued: 30 Mar 2022
Record last updated: 30 Mar 2022

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.