Vein Clinics Northwest, Pllc

NPI 1841234069 - Surgery - 2086S0129X

NPI Details
NPI 1841234069
Enumeration Date 06/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOUGLAS DOUGLAS
Position PRESIDENT
Phone (208) 676-0104
Fax (208) 765-1893
Practice Location
850 IRONWOOD DR
SUITE 201
COEUR D ALENE ID, 83814-4903, US
Phone (208) 676-0104
Fax (208) 765-1893
Business Location
850 W IRONWOOD DR
SUITE 201
COEUR D ALENE ID, 83814-4903, US
Phone (208) 676-0104
Fax (208) 765-1893
Toxanomy
Taxonomy Code 2086S0129X
License State
License Number
Remove 1841234069 NPI Number
 

According to our database, Vein Clinics Northwest, Pllc NPI is 1841234069, taxonomy code is 2086S0129X Vein Clinics Northwest, Pllc physically located at 850 Ironwood Dr, Coeur D Alene ID, 83814-4903. NPI Number 1033115704 has the healthcare provider type.

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1841234069 NPI number is provided on an as is basis without warranty of any kind. 1841234069 is maintained by the National Plan & Provider Enumeration System. The contents of Vein Clinics Northwest, Pllc are for informational purposes only.