Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boise Laser and Cosmetic Surgery Center PC

Organization Facial Plastic Surgery Physician · NPI 1649410218

Boise Laser and Cosmetic Surgery Center PC provides Facial Plastic Surgery Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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