Individual
DR. PATRICK DANIEL VARGAS VILLAZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 E FLAMINGO AVE, NAMPA, ID 83687-3138
(208) 463-5000
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
M-11976
ID
390200000X
Student in an Organized Health Care Education/Training Program
240133
MA
Other
Enumeration date
08/03/2009
Last updated
12/22/2025
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