Organization · Type 2 NPI
Gray Facial Plastic Surgery
Facial Plastic Surgery Physician · Boise, ID
NPI number
1104638451
Active
Practice location
2593 N Bird St
Boise, ID 83704-5649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Other facial plastic surgery physician providers in Boise
About NPI 1104638451
Gray Facial Plastic Surgery's National Provider Identifier is 1104638451, issued on Jan 23, 2025. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Boise, ID. The record was last updated on Feb 9, 2025.