Sandoval Center for Medicine, Chartered
Sandoval Center for Medicine, Chartered is a Phlebology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
1199 Shoreline Ln Ste 310Boise, ID 83702-6813
Phone: (208) 333-1472
Fax: (208) 333-7757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Phlebology Physician (primary) | Taxonomy 202K00000X · Licence O-124 (ID) |
|---|
Record details
| NPI number | 1306025036 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jesse Sandoval — President · (208) 333-1472 |
| NPI enumerated | October 30, 2007 |
| Last updated in NPPES | March 11, 2008 |
| Mailing address | Po Box 7130, Boise, ID 83707-1130 |