ADA PLASTIC AND RECONSTRUCTIVE SURGERY is an ambulatory surgical clinic center in Boise, ID. ADA PLASTIC AND RECONSTRUCTIVE SURGERY NPI is 1548433790. The provider is registered as an organization entity type.
The provider's business location address is:
900 N LIBERTY ST
SUITE 300
BOISE, ID
ZIP 83704-704
Phone: (208) 367-6903
Fax: (208) 367-6904
The provider's authorized official is Thomas D Mckim .
The authorized official title is Owning Physician and has the following contact phone number (208) 367-6901.
The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/11/2008.