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Dr. Patrick Daniel Vargas Villazon, MD
Adolescent Medicine (Internal Medicine) Physician in Nampa, Idaho
NPI 1821229279

Patrick Daniel Vargas Villazon is an Adolescent Medicine (Internal Medicine) Physician based in Meridian, ID and is specialized in Adolescent Medicine. Patrick Daniel Vargas Villazon practices in Nampa, ID and has the professional credentials of MD. The NPI Number for Patrick Daniel Vargas Villazon is 1821229279 and holds a License No. 240133 (Idaho).

The current practice location address for Patrick Daniel Vargas Villazon is 1512 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-463-5000. You can also correspond with Patrick Daniel Vargas Villazon through the mailing address at 997 W KINGSLEY DR, MERIDIAN, ID - 83646-6465 (mailing address contact number: 413-358-7941).

Location: 1512 12Th Ave Rd, Nampa, ID, 83646-6465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821229279
Provider Name
Patrick Daniel Vargas Villazon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1512 12Th Ave Rd, Nampa, ID, 83646-6465
Phone Number
208-463-5000
Fax Number
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1512 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-6008
Phone Number
208-463-5000
Fax Number
person
Provider Business Mailing Address Details
Address
997 W Kingsley Dr
City
Meridian
State
Idaho
Zip
83646-6465
Phone Number
413-358-7941
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Adolescent Medicine
Taxonomy
207RA0000X
License No.
M-11976 (Idaho)
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
240133 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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