Organization
PERIPHERAL VASCULAR PARTNERS OF BOISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN COWLEY (MANAGING PARTNER)
(385) 492-4064
Entity
Organization
Contact information
Practice address
3581 E OVERLAND RD, MERIDIAN, ID 83642-6757
(385) 492-4064
(801) 689-3277
Mailing address
5131 S 1500 W, OGDEN, UT 84405-3926
(385) 492-4064
(801) 689-3277
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
07/28/2021
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