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NPI Profile for Dr BONITA K VESTAL in BOISE, ID.
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Hematology-Oncology |
2080P0207X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1245224377 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 09/05/2005 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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BONITA K VESTAL
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BONITA K VESTAL, MD