NPI 1184899973

Idaho Cleft and Craniofacial Pediatric Plastic Surgery, P.A.

Organisation Plastic Surgery Physician Boise, ID

Practice location

Address: 100 E Idaho Street, Suite 303, Boise, ID 83712-6269
Phone: (208) 433-1736
Fax: (208) 433-1738

Authorised official

Name: Russell H Griffiths
Title: President
Phone: (208) 433-1736

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence M7454 (ID)

Other Plastic Surgery providers in Idaho →

Registry record

NPI: 1184899973
Entity type: Organization
NPI issued: 23 Apr 2008
Record last updated: 8 May 2023

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.