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Organization

ADVANCED HEALTHCARE SOLUTIONS, LLC

Active
Parent organization
ADVANCED HEALTHCARE SOLUTIONS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED HEALTHCARE SOLUTIONS, LLC
Authorized official
JAY WILLEY DO (MEDICAL DIRECTOR)
(208) 478-7422
Entity
Organization

Contact information

Practice address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 478-7422
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
09/28/2011
Last updated
10/17/2011
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