| Doctor Name: | VINCENT JOSEPH SERIO |
| NPI Number: | 1750509725 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | M-7056 |
| Business Practice Address: | 1910 University Dr Ms-1351 Boise, ID - 837250002 |
| Business Phone Number: | 2084261459 |
| Business Fax Number: | 2084263005 |
| Mailing Address: | 1910 University Dr, Ms-1351 BOISE |
| State: | ID |
| Postal Code: | 837250002 |
| Phone Number: | 2084261459 |
| Fax Number: | 2084263005 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | M-7056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |