Organization
CANYON OFP, PLLC
Active
Other names
Nava Face & Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE WINGSY VARGASON MD (SOLE MEMBER)
(208) 901-8749
Entity
Organization
Contact information
Practice address
4405 E FLAMINGO AVE, NAMPA, ID 83687-3113
(208) 285-6282
Mailing address
490 E SUNNYRIDGE CT, BOISE, ID 83702-6542
(208) 901-8749
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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