Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Laser and Cosmetic Surgery Center PC

Organization Facial Plastic Surgery Physician · NPI 1649410218

Boise Laser and Cosmetic Surgery Center PC is a Facial Plastic Surgery Physician in Boise, Idaho. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6077 N Eagle Rd
Boise, ID 83713-0997
Phone: (208) 939-9000
Fax: (208) 939-9580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X

Record details

NPI number1649410218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bret Rodgers — Physician · (208) 939-9000
NPI enumeratedFebruary 23, 2009
Last updated in NPPESNovember 8, 2010
Mailing address6077 N Eagle Rd, Boise, ID 83713-0997

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