IndividualActive
Bonita Vestal, M.D.
NPI 1245224377 · Pediatric Hematology & Oncology Physician · Boise, ID
Provider details
- NPI number
- 1245224377
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- License
- M-3713 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1502 W Franklin St
Boise, ID 83702-4028
Phone: (208) 385-7868
Fax: (208) 344-3059
Approximate (ZIP-level) locationGet directions
Mailing address
1502 W Franklin St
Boise, ID 83702-4028
Registry dates
- Enumerated
- 2005-09-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.