OrganizationActive
Boise Laser and Cosmetic Surgery Center PC
NPI 1649410218 · Facial Plastic Surgery Physician · Boise, ID
Provider details
- NPI number
- 1649410218
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bret Rodgers, Physician(208) 939-9000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6077 N Eagle Rd
Boise, ID 83713-0997
Phone: (208) 939-9000
Fax: (208) 939-9580
Approximate (ZIP-level) locationGet directions
Mailing address
6077 N Eagle Rd
Boise, ID 83713-0997
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2010-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.