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Search › Idaho › Internal Medicine Physician

Tyler Vance, DO

NPI 1194349076 · on the registry since 2020 · sole proprietor

Practice

Address
190 E Bannock St
Boise, ID 83712
Phone
(208) 381-5015
Organisation at this address
St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
692

Registry record

Primary taxonomy
Internal Medicine Physician
207R00000X
Also registered as
Internal Medicine Physician
Licence states on file
IA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-12

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