Individual
DR. ANDREW LEE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 417-7569
(480) 421-9899
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0-1550
ID
207P00000X
Emergency Medicine Physician
125058092
IL
Other
Enumeration date
06/01/2010
Last updated
06/05/2025
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