Individual
PATRICIA M. AVANCENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD-PHD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-3131
(208) 367-3174
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
6271863
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
09/19/2025
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