Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | M11310 | ID |
NPI | 1003086588 |
---|---|
Provider Name | Dr. Maggie D. Vuturo |
First Address | Boise, ID 83712 |
Second Address | Meridian, ID 83642-6351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2008 |
Last Update Date | 12/09/2018 |