Organization
ADVANCED HEALTHCARE SOLUTIONS LLC
Active
Other names
Physicians Immediate Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY PAUL VAWDREY NP-C (COO)
(208) 478-7422
Entity
Organization
Contact information
Practice address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 478-7422
(208) 478-1515
Mailing address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 478-7422
(208) 478-1515
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
06/01/2016
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