Individual
AMBER M VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7350 W VICTORY RD, BOISE, ID 83709-4237
(208) 809-2888
(208) 809-2889
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6522
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA555
ID
Other
Enumeration date
06/01/2006
Last updated
12/06/2021
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