Individual
DR. NICHOLAS JOHN VIETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1000
(301) 619-2152
Mailing address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1000
(301) 619-2152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-7632
ID
207RI0200X
Infectious Disease Physician
Primary
M-7632
ID
Other
Enumeration date
08/23/2006
Last updated
03/14/2022
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