Aesthetic Eye PC

NPI #1881989895 in Ketchum, Idaho

Provider Information

NPI Number: 1881989895
Entity Type: Organization
Organization Name: Aesthetic Eye PC
Primary Specialty: Specialist
Enumeration Date: Jun 17, 2011
Last Updated: Jun 17, 2011

Practice Location

Address: 360 E 9TH ST #3
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (541) 482-2821

Authorized Official

Name: ALAN W MCINNES JR., MD
Title: PRESIDENT
Phone: (209) 981-2747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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