Dr. Bonita Klahn Vestal
Pediatric Hematology-Oncologist
1502 W Franklin St
Boise
, Idaho 83702-4028
Dr. Bonita Klahn Vestal
Pediatric Hematology-Oncologist
1502 W Franklin St
Boise
, Idaho 83702-4028
(208) 344-3059
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Bonita Klahn Vestal
- 1502 W Franklin St
- Boise, ID
- Zip : 83702-4028
- Fax : (208) 344-3059
- Phone : (208) 385-7868
Second Address
- Dr. Bonita Klahn Vestal
- 1502 W Franklin St
- Boise, ID
- Zip : 83702-4028
- Fax : (208) 344-3059
- Phone : (208) 385-7868
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | M-3713 | ID |
National Provider Identifier
| NPI | 1245224377 |
|---|---|
| Provider Name | Dr. Bonita Klahn Vestal |
| First Address | Boise, ID 83702-4028 |
| Second Address | Boise, ID 83702-4028 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.