PERIPHERAL VASCULAR PARTNERS OF BOISE - NPI 1700456274

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

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About Peripheral Vascular Partners Of Boise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIPHERAL VASCULAR PARTNERS OF BOISE (NPI 1700456274) is a healthcare organization registered as a vascular & interventional radiology in Meridian, Idaho and active in the NPI registry since June 2021. The organization lists Justin Cowley, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1700456274

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NamePERIPHERAL VASCULAR PARTNERS OF BOISE

Location Address3581 E OVERLAND RDMeridian, ID 83642-6757

Mailing Address5131 S 1500 WOgden, UT 84405-3926 · (385) 492-4064 · Fax (801) 689-3277

Phone(385) 492-4064

Fax(801) 689-3277

Organization SubpartNo

Authorized OfficialJustin CowleyManaging Partner · (385) 492-4064

Enumeration DateJune 28, 2021

Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration

NPPES CertifiedJuly 28, 2021

✔ NPI 1700456274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

3581 E OVERLAND RD, Meridian, ID 83642

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP