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Organization
ADVANCED HEALTHCARE SOLUTIONS LLC
Active
Organization
ADVANCED HEALTHCARE SOLUTIONS LLC
Active
Other names
Physicians Immediate Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY PAUL VAWDREY NP-C (COO)
(208) 478-7422
Entity
Organization
Contact information
Practice address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 478-7422
(208) 478-1515
Mailing address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 478-7422
(208) 478-1515
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/16/2006
Last updated
06/01/2016
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