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

Gray Facial Plastic Surgery

Organization Facial Plastic Surgery Physician · NPI 1104638451

Gray Facial Plastic Surgery is a Facial Plastic Surgery Physician in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2593 N Bird St
Boise, ID 83704-5649
Phone: (208) 631-6990
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 number1104638451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Gray — Facial Plastic Surgeon · (208) 631-6990
NPI enumeratedJanuary 23, 2025
Last updated in NPPESFebruary 9, 2025
Certification dateFebruary 9, 2025
Mailing address2593 N Bird St, Boise, ID 83704-5649

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