NPI 1629007844

Idaho Vascular Institute PLLC

Organisation Vascular & Interventional Radiology Physician Nampa, ID

Practice location

Address: 4400 E Flamingo Ave, Nampa, ID 83687-9203
Phone: (208) 288-4620
Mailing address: PO Box 9649, Boise, ID 83707-4649

Authorised official

Name: Daniel Wegner
Title: Member
Phone: (208) 288-4620

Registered specialties

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Other Radiology providers in Idaho →

Registry record

NPI: 1629007844
Entity type: Organization
NPI issued: 1 Jul 2006
Record last updated: 26 Aug 2007

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.