Individual
ALEXANDER PAUL VLOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(414) 467-1252
Mailing address
2122 W BENT BOW ST, BOISE, ID 83703-5033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MRM-1807
ID
Other
Enumeration date
04/08/2019
Last updated
04/23/2019
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