NPI 1255401436

Idaho Eyelid & Facial Plastic Surgery , PLLC

Organisation Ophthalmology Physician Boise, ID

Practice location

Address: 111 W Main St STE 200, Boise, ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461

Authorised official

Name: Mark J Boerner
Title: Owner
Phone: (208) 344-3220

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Idaho →

Registry record

NPI: 1255401436
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 3 Apr 2020

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.