Individual
DR. BONITA KLAHN VESTAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1502 W FRANKLIN ST, BOISE, ID 83702-4028
(208) 385-7868
(208) 344-3059
Mailing address
1502 W FRANKLIN ST, BOISE, ID 83702-4028
(208) 385-7868
(208) 344-3059
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
M-3713
ID
Other
Enumeration date
09/05/2005
Last updated
07/08/2007
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