VITANOVU, P.C.

NPI # 

Practice Address:

1525 S Owyhee St

Boise, ID, 83705-6014

Practice Phone:

208-344-8482

Practice Fax:

208-345-5426

License Number:

M-11233

License State:

ID

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X