# VENIA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vein Clinics Northwest, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841234069
- **Authorized official:** DOUGLAS STAFFORD MD (PRESIDENT)
- **Authorized official phone:** (208) 676-0104

## Contact information

- **Practice address:** 2109 N MAIN ST, COEUR D ALENE, ID 83814-5768
- **Practice address phone:** (208) 676-0104
- **Practice address fax:** (208) 765-1893
- **Mailing address:** PO BOX 3482, POST FALLS, ID 83877-3482
- **Mailing address phone:** (208) 676-0104
- **Mailing address fax:** (208) 765-1893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 01/25/2017