Christian A Vanderford


Address: 1625 W State St, Suite 100, Boise, ID 83702-4003

Christian A Vanderford (NPI# 1770747404, PAC ID# 7618041831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1770747404
PAC ID by PECOS 7618041831
Professional Enrollment ID I20080806000679
Full Name Christian A Vanderford
Address 1625 W State St
Suite 100
Boise
ID 83702-4003
Gender M
Graduation Year 2003
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1625 W State St, Suite 100, Boise, ID 83702-4003
30544 Hwy 200, Ponderay, ID 83852-5005 8086521954 KAUAI IN-HOME THERAPY LLC

Organization Information

Office Location

Street Address 1625 W STATE ST
SUITE 100
City BOISE
State ID
Zip 83702-4003

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Competitor

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City BOISE
Zip Code 83702
Specialty PHYSICAL THERAPY
City + Specialty BOISE + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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