| Boise Plastic Surgery Boise Hand Center Pllc | |
|
1070 N Curtis Rd Ste 135 Boise ID 83706-1257 | |
| (208) 947-5390 | |
| (208) 947-3465 |
| Full Name | Boise Plastic Surgery Boise Hand Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1070 N Curtis Rd Ste 135, Boise, Idaho |
| Authorized Official Name and Position | Patrick Cole (OWNER/SURGEON) |
| Authorized Official Contact | 2089475390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Plastic Surgery Boise Hand Center Pllc Po Box 4655 Boise ID 83711-4655 Ph: (208) 947-5390 | Boise Plastic Surgery Boise Hand Center Pllc 1070 N Curtis Rd Ste 135 Boise ID 83706-1257 Ph: (208) 947-5390 |
| NPI Number | 1699316190 |
|---|---|
| Provider Enumeration Date | 10/05/2019 |
| Last Update Date | 10/05/2019 |
| Medicare PECOS PAC ID | 7012349723 |
|---|---|
| Medicare Enrollment ID | O20191119001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699316190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Patrick D Cole |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023337631 PECOS PAC ID: 5799091146 Enrollment ID: I20191218001895 |
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