Boise Vamc

NPI #1164461042 in Twin Falls, Idaho

Provider Information

NPI Number: 1164461042
Entity Type: Organization
Organization Name: Boise Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 6, 2006
Last Updated: Oct 31, 2017

Practice Location

Address: 260 2ND AVE E
Address 2: SUITE 12
City: Twin Falls
State: Idaho
ZIP Code: 83301-6242
Phone: (702) 341-3164

Authorized Official

Name: 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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