Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vascular Surgery Center of Excellence PLLC

Organization Vascular Surgery Physician · NPI 1851171409

Vascular Surgery Center of Excellence PLLC is a Vascular Surgery Physician in Twin Falls, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

512 Pole Line Rd
Twin Falls, ID 83301-6367
Phone: (231) 429-4013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1851171409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elliot Adams — President · (231) 429-4013
NPI enumeratedOctober 2, 2023
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address1205 White Birch Ave, Twin Falls, ID 83301-6058

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