Ada Plastic and Reconstructive Surgery
Ada Plastic and Reconstructive Surgery is an Ambulatory Surgical Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
900 N Liberty St Ste 300Boise, ID 83704-8704
Phone: (208) 367-6903
Fax: (208) 367-6904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence M7009 (ID) |
|---|
Record details
| NPI number | 1548433790 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas McKim — Owning Physician · (208) 367-6901 |
| NPI enumerated | April 9, 2008 |
| Last updated in NPPES | April 11, 2008 |
| Mailing address | 900 N Liberty St, Suite 300, Boise, ID 83704-8704 |
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