SUPERIOR VEIN CARE PLLP NPI 1609346303

NPI Information

NPI: 1609346303
Provider Name: SUPERIOR VEIN CARE, PLLP
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3875 E OVERLAND RD STE 2D
MERIDIAN, ID
ZIP 83642
Phone: (208) 484-2431
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SUPERIOR VEIN CARE, PLLP is a vascular surgery surgery in Meridian, 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. SUPERIOR VEIN CARE, PLLP NPI is 1609346303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3875 E OVERLAND RD STE 2D
MERIDIAN, ID
ZIP 83642-005
Phone: (208) 484-2431
Fax: (866) 335-0887

The provider's authorized official is Michael Tullis .
The authorized official title is Medical Director and has the following contact phone number (208) 484-2431.

The enumeration date for this NPI number is 11/26/2018 and was last updated on 11/26/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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