North Idaho Plastic and Reconstructive Surgery Inc.

NPI #1316186927 in Post Falls, Idaho

Provider Information

NPI Number: 1316186927
Entity Type: Organization
Organization Name: North Idaho Plastic and Reconstructive Surgery Inc.
Primary Specialty: Specialist
Enumeration Date: Feb 5, 2009
Last Updated: Feb 5, 2009

Practice Location

Address: 750 N SYRINGA ST
Address 2: STE 204
City: Post Falls
State: Idaho
ZIP Code: 83854-5275
Phone: (208) 777-7830

Authorized Official

Name: MR. FREDERICK M OWSLEY, M.D.
Title: PRESIDENT
Phone: (208) 777-7830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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