# VASCULAR SURGERY CENTER OF EXCELLENCE PLLC

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

## Provider details

- **NPI number:** 1851171409
- **Authorized official:** ELLIOT MCNAMARA ADAMS MD (PRESIDENT)
- **Authorized official phone:** (231) 429-4013

## Contact information

- **Practice address:** 512 POLE LINE RD, TWIN FALLS, ID 83301-6367
- **Practice address phone:** (231) 429-4013
- **Mailing address:** 1205 WHITE BIRCH AVE, TWIN FALLS, ID 83301-6058
- **Mailing address phone:** (231) 429-4013

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2023
- **Last updated:** 12/06/2023