Leyngold Institute for Plastic Surgery Pllc

NPI #1972277895 in Meridian, Idaho

Provider Information

NPI Number: 1972277895
Entity Type: Organization
Organization Name: Leyngold Institute for Plastic Surgery Pllc
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Aug 4, 2021
Last Updated: Mar 7, 2022

Practice Location

Address: 3015 E GOLDSTONE DR STE 130
City: Meridian
State: Idaho
ZIP Code: 83642-1549
Phone: (208) 900-4673

Authorized Official

Name: DR. ILYA M LEYNGOLD, MD
Title: MEDICAL DIRECTOR
Phone: (904) 233-1269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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