Boise Laser and Cosmetic Surgery Center PC

NPI #1649410218 in Boise, Idaho

Provider Information

NPI Number
1649410218
Entity Type
Organization
Organization Name
Boise Laser and Cosmetic Surgery Center PC
Primary Specialty
Otolaryngology - Facial Plastic Surgery
Enumeration Date
Feb 23, 2009
Last Updated
Nov 8, 2010

Practice Location

Address
6077 N EAGLE RD
City
Boise
State
Idaho
ZIP Code
83713-0997
Phone
(208) 939-9000

Authorized Official

Name
BRET J RODGERS, M.D.
Title
PHYSICIAN
Phone
(208) 939-9000

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Facial Plastic SurgeryFacial Plastic Surgery

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