Organization · Type 2 NPI
Boise Laser and Cosmetic Surgery Center PC
Facial Plastic Surgery Physician · Boise, ID
NPI number
1649410218
Active
Practice location
6077 N Eagle Rd
Boise, ID 83713-0997
Fax (208) 939-9580
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.
Another provider at this address
Other facial plastic surgery physician providers in Boise
About NPI 1649410218
Boise Laser and Cosmetic Surgery Center PC's National Provider Identifier is 1649410218, issued on Feb 23, 2009. 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 Nov 8, 2010.