OrganizationActive
Gray Facial Plastic Surgery
NPI 1104638451 · Facial Plastic Surgery Physician · Boise, ID
Provider details
- NPI number
- 1104638451
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Alan Gray, Facial Plastic Surgeon
Mailing address
2593 N Bird St
Boise, ID 83704-5649
Registry dates
- Enumerated
- 2025-01-23
- Last updated
- 2025-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.