Organization · Type 2 NPI
Aesthetic Eye PC
Specialist · Ketchum, ID
NPI number
1881989895
Active
Practice location
360 E 9th St #3
Ketchum, ID 83340
Mailing address
2640 Creekside Dr
Lodi, CA 95242-8341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | M-11139 (ID) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Ketchum
About NPI 1881989895
Aesthetic Eye PC's National Provider Identifier is 1881989895, issued on Jun 17, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ketchum, ID. The record was last updated on Jun 17, 2011.