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NORTH IDAHO PLASTIC AND RECONSTRUCTIVE SURGERY INC. NPI 1316186927


NPI Information

NPI: 1316186927
Provider Name: NORTH IDAHO PLASTIC AND RECONSTRUCTIVE SURGERY INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
750 N SYRINGA ST
STE 204
POST FALLS, ID
ZIP 83854
Phone: (208) 777-7830
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NORTH IDAHO PLASTIC AND RECONSTRUCTIVE SURGERY INC. is a specialist in Post Falls, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTH IDAHO PLASTIC AND RECONSTRUCTIVE SURGERY INC. NPI is 1316186927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 N SYRINGA ST
STE 204
POST FALLS, ID
ZIP 83854-275
Phone: (208) 777-7830
Fax: (208) 777-7850

The provider's authorized official is Frederick M Owsley .
The authorized official title is President and has the following contact phone number (208) 777-7830.

The enumeration date for this NPI number is 2/5/2009 and was last updated on 2/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistM-6071IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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