Organization
VENIA, PLLC
Active
Other names
Vein Clinics Northwest, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS STAFFORD MD (PRESIDENT)
(208) 676-0104
Entity
Organization
Contact information
Practice address
2109 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 676-0104
(208) 765-1893
Mailing address
PO BOX 3482, POST FALLS, ID 83877-3482
(208) 676-0104
(208) 765-1893
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
01/25/2017
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