Organization
VASCULAR SURGERY CENTER OF EXCELLENCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT MCNAMARA ADAMS MD (PRESIDENT)
(231) 429-4013
Entity
Organization
Contact information
Practice address
512 POLE LINE RD, TWIN FALLS, ID 83301-6367
(231) 429-4013
Mailing address
1205 WHITE BIRCH AVE, TWIN FALLS, ID 83301-6058
(231) 429-4013
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
12/06/2023
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