ADA PLASTIC AND RECONSTRUCTIVE SURGERY

NPI # 

Practice Address:

900 N Liberty St , Suite 300

Boise, ID, 83704-8704

Practice Phone:

208-367-6903

Practice Fax:

208-367-6904

License Number:

M7009

License State:

ID

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Ambulatory Surgical

Taxonomy Code:

261QA1903X