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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANNIS WAKELEE VARGAS, M.D.

Active Sole Proprietor

ANNIS WAKELEE VARGAS, M.D. is a Pediatrics healthcare provider located in BOISE, Idaho. NPI 1023404811 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BOISE, ID

Registration Details

NPI Number
1023404811
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2015 (11.312893545607 yrs)
Last Updated
Jul 19, 2018
Licenses
10077801-1205 (UT)
10077801-8905 (UT)
M-14080 (ID)
Sole Proprietor
Yes

Practice Information

Address
1072 N LIBERTY STREET
STE 203
BOISE, ID, 83701
Browse ID providers · Browse ZIP 83701
Phone
2083025800
Fax
2083025855
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.