NPI: 1841234069
Provider Name: VENIA, PLLC
Former Legal Business Name: VEIN CLINICS NORTHWEST, PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization
Specialization: Vascular Surgery
Address:
2109 N MAIN ST
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 676-0104
Get Directions
VENIA, PLLC is a vascular surgery surgery in Coeur D Alene, 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. VENIA, PLLC NPI is 1841234069. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Vein Clinics Northwest, Pllc.
The provider's business location address is:
2109 N MAIN ST
COEUR D ALENE, ID
ZIP 83814-768
Phone: (208) 676-0104
Fax: (208) 765-1893
The provider's authorized official is Douglas Stafford .
The authorized official title is President and has the following contact phone number (208) 676-0104.
The enumeration date for this NPI number is 6/16/2006 and was last updated on 1/25/2017.