Boise Vamc

NPI #1124152921 in Caldwell, Idaho

Provider Information

NPI Number: 1124152921
Entity Type: Organization
Organization Name: Boise Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Mar 15, 2007
Last Updated: Nov 3, 2023

Practice Location

Address: 713 HAYSTACK WAY
City: Caldwell
State: Idaho
ZIP Code: 83605-6981
Phone: (702) 341-3164

Authorized Official

Name: MS. ERIN POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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