Organization · Type 2 NPI

Ada Plastic and Reconstructive Surgery

Ambulatory Surgical Clinic/Center · Boise, ID

NPI number 1548433790 Active

Practice location

900 N Liberty St, Suite 300
Boise, ID 83704-8704

Call (208) 367-6903 Map

Fax (208) 367-6904

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XM7009 (ID)

Ambulatory Surgical Clinic/Center: Definition to come...

25 other providers at this address

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About NPI 1548433790

Ada Plastic and Reconstructive Surgery's National Provider Identifier is 1548433790, issued on Apr 9, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Boise, ID. The record was last updated on Apr 11, 2008.