NPI 1649410218

Boise Laser and Cosmetic Surgery Center PC

Organisation Facial Plastic Surgery Physician Boise, ID

Practice location

Address: 6077 N Eagle Rd, Boise, ID 83713-0997
Phone: (208) 939-9000
Fax: (208) 939-9580

Authorised official

Name: Bret J Rodgers
Title: Physician
Phone: (208) 939-9000

Registered specialties

Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X

Other Otolaryngology providers in Idaho →

Registry record

NPI: 1649410218
Entity type: Organization
NPI issued: 23 Feb 2009
Record last updated: 8 Nov 2010

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.