Individual
VINCENT JOSEPH SERIO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2275 S EAGLE RD STE 120, MERIDIAN, ID 83642-2620
(208) 514-2520
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-7056
ID
208D00000X
General Practice Physician
M-7056
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750509725
—
ID
Enumeration date
04/23/2007
Last updated
03/17/2018
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