NPI 1568095883
Facial Trauma Associates PLLC
Practice location
- Address
- 1000 N Curtis Rd STE 103, Boise, ID 83706-1345
- Phone
- (208) 343-0909
Authorised official
- Name
- Cole W Anderson
- Title
- Member
- Phone
- (208) 343-0909
Registered specialties (2)
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Oral and Maxillofacial Pathology Dentistry
Registry record
- NPI
- 1568095883
- Entity type
- Organization
- NPI issued
- 14 Feb 2020
- Record last updated
- 14 Feb 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.