Idaho Cleft and Craniofacial Pediatric Plastic Surgery, PA
Idaho Cleft and Craniofacial Pediatric Plastic Surgery, PA is a Plastic Surgery Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 E Idaho St Ste 303Boise, ID 83712-6269
Phone: (208) 433-1736
Fax: (208) 433-1738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence M7454 (ID) |
|---|
Record details
| NPI number | 1184899973 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Griffiths — President · (208) 433-1736 |
| Other names | Russell H Griffiths, Mdpa |
| NPI enumerated | April 23, 2008 |
| Last updated in NPPES | May 8, 2023 |
| Certification date | May 8, 2023 |
| Mailing address | 100 E Idaho Street, Suite 303, Boise, ID 83712-6269 |
Other providers in Boise
-
Earl Anthony Gage, MD
100 E Idaho St Ste 303, Boise, ID 83712-6269 · (314) 251-4772
-
Dr. Sumiko Joan Hegstad, MD
222 N 2nd St Ste 102, Boise, ID 83702-6129 · (208) 344-1281
-
Dr. Jonathan D Kramer, MD
100 E Idaho St Ste 301, Boise, ID 83712-6267 · (208) 344-4900
-
Dinu Mistry Wolf, MD
341 E Bannock St, Boise, ID 83712-6208 · (208) 342-8180
-
Bryn Erin Morris
100 E Idaho St Ste 316, Boise, ID 83712-6269 · (208) 706-4650
-
Dr. Dean Sorensen, MD
250 Bobwhite CT 275, Boise, ID 83706-6643 · (208) 333-0200