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Victoria Rose Vega, PA-C
Medical Physician Assistant in Rupert, Idaho
NPI 1205569639

Victoria Rose Vega is a Medical Physician Assistant based in Pocatello, ID and is specialized in Medical. Victoria Rose Vega practices in Rupert, ID and has the professional credentials of PA-C. The NPI Number for Victoria Rose Vega is 1205569639 and holds a License No. (Idaho).

The current practice location address for Victoria Rose Vega is 402 6Th St, Rupert, ID and can be reached out via phone at 208-650-7941.

Location: 402 6Th St, Rupert, ID, 83201-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205569639
Provider Name
Victoria Rose Vega
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
402 6Th St, Rupert, ID, 83201-3811
Phone Number
208-650-7941
Fax Number
Provider Enumeration Date
07/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
402 6Th St
City
Rupert
State
Idaho
Zip
83350-1619
Phone Number
208-650-7941
Fax Number
person
Provider Business Mailing Address Details
Address
402 6Th St
City
Rupert
State
Idaho
Zip
83350-1619
Phone Number
208-650-7941
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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