| Dr Edward Angus Vivian, MD | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (208) 743-2511 | |
| Not Available |
| Full Name | Dr Edward Angus Vivian |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578689600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | M9358 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Angus Vivian, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 | Dr Edward Angus Vivian, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 |
Dr. Thomas Richard Boubel, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Dr. Larry Phillip Davis, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Dr. Frank F Ditto, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 |