NPI 1245645589

Jason Nealy, DO

Practitioner Plastic Surgery Physician Boise, ID

Practice location

Address: 4305 N Eagle Rd, Boise, ID 83713-4722
Phone: (208) 939-3110
Mailing address: 15320 Old Redmond Rd, Redmond, WA 98052-6837

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 60961766 (WA)

Other Plastic Surgery providers in Idaho →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 60961766 (WA)

Other Surgery providers in Idaho →

Registry record

NPI: 1245645589
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2014
Record last updated: 15 Oct 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.