Bonita Klahn Vestal in Boise - Pediatric Hematology-oncology
Bonita Klahn Vestal - NPI 1245224377
Bonita Klahn Vestal is a Pediatric Hematology-oncology in Boise, Idaho. Bonita Klahn Vestal practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Bonita Klahn Vestal is 1245224377. The last update date is 2007-07-08.
Bonita Klahn Vestal's current location address is 1502 W Franklin St, Boise, Idaho. You can contact this provider via phone number 2083857868 and fax number 2083443059. The mailing address for Bonita Klahn Vestal is 1502 W Franklin St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita Klahn Vestal |
|---|---|
| Address | 1502 W Franklin St, Boise, Idaho |
| Phone Number | 2083857868 |
| Fax Number | 2083443059 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245224377 |
|---|---|
| Provider Enumeration Date | 2005-09-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1502 W Franklin St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837024028 |
| Phone Number | 2083857868 |
| Fax Number | 2083443059 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | M-3713 |
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Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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What is the unique identification code assigned to Bonita Klahn Vestal by the Centers for Medicare & Medicaid Services?
The Bonita Klahn Vestal has been issued the NPI (National Provider Identifier) 1245224377. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bonita Klahn Vestal's physical address?
The Bonita Klahn Vestal is physically located at 1502 W Franklin St, in the city of Boise, ID, with the postal code 837024028.
What is Bonita Klahn Vestal's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bonita Klahn Vestal is Pediatric Hematology-oncology, and the taxonomy code that categorizes this field of expertise is 2080P0207X.
On what date did the Bonita Klahn Vestal receive its 1245224377 assignment from the Centers for Medicare & Medicaid Services?
The Bonita Klahn Vestal was assigned its 1245224377 by the Centers for Medicare & Medicaid Services on 2005-09-05.
When was the information regarding Bonita Klahn Vestal most recently updated?
The details pertaining to the Bonita Klahn Vestal, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY