# SUPERIOR VEIN CARE, PLLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609346303
- **Authorized official:** AZUL COHLMIA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (208) 600-1550

## Contact information

- **Practice address:** 3277 E LOUISE DR STE 360, MERIDIAN, ID 83642-9359
- **Practice address phone:** (208) 600-1550
- **Practice address fax:** (208) 600-1551
- **Mailing address:** 3875 E OVERLAND RD STE 2D, MERIDIAN, ID 83642-9005
- **Mailing address phone:** (208) 484-2431
- **Mailing address fax:** (866) 335-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/26/2018
- **Last updated:** 05/14/2024