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Organization

HIGH DESERT HEART & VASCULAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARREN PRICE (CEO)
(208) 781-6039
Entity
Organization

Contact information

Practice address
3015 E GOLDSTONE DR STE 230, MERIDIAN, ID 83642-1224
(208) 834-1046
Mailing address
3015 E GOLDSTONE DR STE 230, MERIDIAN, ID 83642-1224
(208) 834-1046

Taxonomy

Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285851337
FRED COSTELLO, MD NPI
01
1679733414
JOSHUA MOZES, MD, NPI
01
1699720383
DANA PEACHEY
01
1710914528
DAVID HINCHMAN, MD, NPI
01
1942474853
DANIEL NOONAN, MD NPI
Enumeration date
04/17/2023
Last updated
12/12/2024
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