Treasure Valley Vein and Wound Center LLC

NPI #1336917913 in Garden City, Idaho

Provider Information

NPI Number: 1336917913
Entity Type: Organization
Organization Name: Treasure Valley Vein and Wound Center LLC
Primary Specialty: Surgery
Enumeration Date: Dec 13, 2023
Last Updated: May 10, 2024

Practice Location

Address: 10557 W CARLTON BAY DR STE 106
City: Garden City
State: Idaho
ZIP Code: 83714-5200
Phone: (304) 617-1511

Authorized Official

Name: ASHLEY W BENNETT, MD
Title: OWNER PROVIDER
Phone: (304) 617-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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