NPI 1104638451
Gray Facial Plastic Surgery
Practice location
- Address
- 2593 N Bird St, Boise, ID 83704-5649
- Phone
- (208) 631-6990
Authorised official
- Name
- Alan James Gray
- Title
- Facial Plastic Surgeon
- Phone
- (208) 631-6990
Registered specialties
Facial Plastic Surgery Physician
Primary
Registry record
- NPI
- 1104638451
- Entity type
- Organization
- NPI issued
- 23 Jan 2025
- Record last updated
- 9 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.