Retina Specialists of Idaho, PLLC
Retina Specialists of Idaho, PLLC is an Ophthalmology 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?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13923 W Wainwright Dr Ste 301Boise, ID 83713-1969
Phone: (208) 938-5624
Fax: (208) 938-5764
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
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence M-10066 (ID) |
|---|
Record details
| NPI number | 1366607996 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Denton Roberts — Owner · (208) 938-5624 |
| NPI enumerated | July 23, 2008 |
| Last updated in NPPES | April 10, 2012 |
| Mailing address | 13923 W Wainwright Dr, Suite 301, Boise, ID 83713-1969 |
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