Most Relevant Information
Provider Data
| NPI Number: | 1003017799 |
| Provider Name: | MELANIE VANDERPOL AUD |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | AUD-3852 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 06/12/2019 |
Provider Practice Location
6094 W EMERALD STREET
BOISE
ID
837048855
Practice Location Phone/Fax
| Phone: | 2083021000 |
| Fax: | 2083021035 |
Provider Mailing Location
3340 E GOLDSTONE DR
MERIDIAN
ID
83642
Provider Mailing Phone/Fax
| Phone: | 2083021000 |
| Fax: | 2083021035 |