Individual
ANNIS WAKELEE VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1072 N LIBERTY STREET, STE 203, BOISE, ID 83701
(208) 302-5800
(208) 302-5855
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-5800
(208) 302-5855
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10077801-1205
UT
208000000X
Pediatrics Physician
10077801-8905
UT
208000000X
Pediatrics Physician
Primary
M-14080
ID
Other
Enumeration date
04/08/2015
Last updated
07/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us