NPI 1538872502

Mary Rose Fay Standlee, CSFA

Practitioner Plastic Surgery Physician Boise, ID

Practice location

Address: 305 E Jefferson St, Boise, ID 83712-6231
Phone: (208) 381-2222

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence $$$$$$$$$ (ID)

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Registry record

NPI: 1538872502
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2023
Record last updated: 4 Jan 2023

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.