NPI 1003852849

Cortney a Vandenburgh, DO

Practitioner Family Medicine Physician Hailey, ID

Practice location

Address: 1450 Aviation Dr Suite 100, Hailey, ID 83333-8785
Phone: (208) 788-3434
Fax: (208) 788-2025
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence O0419 (ID)

Other Family Medicine providers in Idaho →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MR0827 (ID)

Registry record

NPI: 1003852849
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2006
Record last updated: 21 Feb 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.