Organization
ADVANCED HEALTHCARE SOLUTIONS LLC
Active
Parent organization
ADVANCED HEALLHCARE SOLUTIONS LLC
Other names
Physicians Immediate Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED HEALLHCARE SOLUTIONS LLC
Authorized official
RANDY VAWDREY NP (COO)
(208) 232-0021
Entity
Organization
Contact information
Practice address
950 HOSPITAL WAY, POCATELLO, ID 83201-2789
(208) 232-0021
Mailing address
2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
About Stedi
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