Idaho Cleft and Craniofacial Pediatric Plastic Surgery, PA
Idaho Cleft and Craniofacial Pediatric Plastic Surgery, PA provides Plastic Surgery Physician services 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