Whalio Doctors

NPI 1568095883

Facial Trauma Associates PLLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Boise, ID

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
Allopathic & Osteopathic Physicians Taxonomy 204E00000X
Oral and Maxillofacial Pathology Dentistry
Dental Providers Taxonomy 1223P0106X

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.