GEM STATE RADIOLOGY LLP NPI 1124258611

NPI Information

GEM STATE RADIOLOGY LLP is a vascular surgery surgery in Boise, ID. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. GEM STATE RADIOLOGY LLP NPI is 1124258611. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Vein Therapy.

The provider's business location address is:

161 E MALLARD DR
SUITE 130
BOISE, ID
ZIP 83706-015
Phone: (208) 947-0100
Fax: (208) 639-6625

The provider's authorized official is Jeffrey R. Cliff .
The authorized official title is Executive Director and has the following contact phone number (208) 384-9060.

The enumeration date for this NPI number is 7/20/2009 and was last updated on 7/30/2009.

Taxonomy Codes

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