JARRELL PLASTIC SURGERY NPI 1477195931

NPI Information

NPI: 1477195931
Provider Name: JARRELL PLASTIC SURGERY
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
3090 E GENTRY WAY STE 210
MERIDIAN, ID
ZIP 83642
Phone: (208) 810-2245
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JARRELL PLASTIC SURGERY is a plastic and reconstructive surgery surgery in Meridian, ID. The provider is a surgeon who specializes in plastic and reconstructive surgery. JARRELL PLASTIC SURGERY NPI is 1477195931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3090 E GENTRY WAY STE 210
MERIDIAN, ID
ZIP 83642-550
Phone: (208) 810-2245
Fax: (208) 947-3465

The provider's authorized official is John A Jarrell .
The authorized official title is Member and has the following contact phone number (208) 810-2245.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 3/24/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

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

NPI Synchronization or Removal

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