Allante Plastic Surgery

NPI #1568693786 in Boise, Idaho

Provider Information

NPI Number: 1568693786
Entity Type: Organization
Organization Name: Allante Plastic Surgery
Primary Specialty: Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
Enumeration Date: Aug 5, 2009
Last Updated: Sep 3, 2019

Practice Location

Address: 909 S ALLANTE PL
City: Boise
State: Idaho
ZIP Code: 83709-1612
Phone: (208) 377-5433

Authorized Official

Name: JUSTIN RODNEY JOHNSEN, MD
Title: OWNER
Phone: (208) 377-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery — Ophthalmic Plastic and Reconstructive Surgery	207WX0200X	Primary

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