NPI age
20 years
Enumerated 2006-02-15
Across 24 active plastic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002773500 | |
| 01 | 10143154 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →