Vanness Coonrod, SLP1695

NPI 1104064625 · on the registry since 2009

Practice

Address: 901 N Curtis Rd
Ste 204
Boise, ID 83706
Phone: (208) 367-3315
Fax: (206) 367-2674
Organisation at this address: Karin Lindholm, D.O.
Michael Obrien Md Pa
Idaho Neurology Pllc
Idaho Hand Center, Pa
Pacific Medical, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 110

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho