NPI 1023404811

Annis Wakelee Vargas, MD

Practitioner Pediatrics Physician Boise, ID

Practice location

Address: 1072 N Liberty Street STE 203, Boise, ID 83701
Phone: (208) 302-5800
Fax: (208) 302-5855
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M-14080 (ID)

Other Pediatrics providers in Idaho →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 10077801-1205 (UT)

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 10077801-8905 (UT)

Registry record

NPI: 1023404811
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2015
Record last updated: 19 Jul 2018

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.