VANISHING VEINS OF IDAHO NPI 1306051081

NPI Information

VANISHING VEINS OF IDAHO is a specialist in Coeur D Alene, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VANISHING VEINS OF IDAHO NPI is 1306051081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1859 N LAKEWOOD DR
SUITE 303
COEUR D ALENE, ID
ZIP 83814-661
Phone: (208) 292-1411
Fax: (208) 292-0262

The provider's authorized official is Amy Garcia .
The authorized official title is Director Of Operations and has the following contact phone number (208) 292-1411.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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