Organization · Type 2 NPI
Retina Specialists of Idaho Partners, PLLC
Retina Specialist (Ophthalmology) Physician · Boise, ID
NPI number
1922425032
Active
Practice location
13923 W Wainwright Dr, Suite 301
Boise, ID 83713-1969
Fax (208) 938-5764
Other practice locations
- 128 E Mallard Dr, Boise, ID 83706-3975 · (208) 323-8660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
2 other providers at this address
About NPI 1922425032
Retina Specialists of Idaho Partners, PLLC's National Provider Identifier is 1922425032, issued on Mar 26, 2014. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Boise, ID. The record was last updated on Oct 14, 2019.