PERIPHERAL VASCULAR PARTNERS OF BOISE NPI 1700456274

NPI Information

PERIPHERAL VASCULAR PARTNERS OF BOISE is a vascular and interventional radiology radiology in Meridian, ID. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PERIPHERAL VASCULAR PARTNERS OF BOISE NPI is 1700456274. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3581 E OVERLAND RD
MERIDIAN, ID
ZIP 83642-757
Phone: (385) 492-4064
Fax: (801) 689-3277

The provider's authorized official is Justin Cowley .
The authorized official title is Managing Partner and has the following contact phone number (385) 492-4064.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 7/28/2021.

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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