Mountain State Breast & General Surgery PLLC
Mountain State Breast & General Surgery PLLC is a Surgery Physician in Boise, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1525 S Owyhee StBoise, ID 83705-6014
Phone: (714) 812-5711
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|
Record details
| NPI number | 1720776164 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rhiana Menen — Owner · (208) 392-3354 |
| NPI enumerated | April 25, 2023 |
| Last updated in NPPES | January 18, 2024 |
| Certification date | January 18, 2024 |
| Mailing address | 1525 S Owyhee St, Boise, ID 83705-6014 |
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Jason Nealy, DO
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Carrie Newton, MS, DO
1525 S Owyhee St, Boise, ID 83705-6014 · (208) 392-3354
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W Christian Oakley, MD
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