Mrs. Cortney A Vandenburgh
Family Doctor
1450 Aviation Dr Suite 100
Hailey
, Idaho 83333-8785
Mrs. Cortney A Vandenburgh
Family Doctor
1450 Aviation Dr Suite 100
Hailey
, Idaho 83333-8785
(208) 381-2222
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Mrs. Cortney A Vandenburgh
- 190 E Bannock St
- Boise, ID
- Zip : 83712-6241
- Phone : (208) 381-2222
Second Address
- Mrs. Cortney A Vandenburgh
- 1450 Aviation Dr Suite 100
- Hailey, ID
- Zip : 83333-8785
- Fax : (208) 788-2025
- Phone : (208) 788-3434
Reviews
FAQs
Where did Mrs. Cortney A Vandenburgh attend graduate school?
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Where did Mrs. Cortney A Vandenburgh do her fellowship?
Is Mrs. Cortney A Vandenburgh board certified?
What type of doctor is Mrs. Cortney A Vandenburgh
In what state does Mrs. Cortney A Vandenburgh practice in?
Where is Mrs. Cortney A Vandenburgh ’s practice located?
What is Mrs. Cortney A Vandenburgh ’s gender?
Is Mrs. Cortney A Vandenburgh a sole practitioner?
Is Mrs. Cortney A Vandenburgh accepting new patients?
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Does Mrs. Cortney A Vandenburgh have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MR0827 | ID |
| Y | 207Q00000X | Family Doctor | O0419 | ID |
National Provider Identifier
| NPI | 1003852849 |
|---|---|
| Provider Name | Mrs. Cortney A Vandenburgh |
| First Address | Boise, ID 83712-6241 |
| Second Address | Hailey, ID 83333-8785 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 21/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 807191900 | (05) | ID |
| P00721168 | MCRR (01) | ID |
| RES000 | (02) |
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.