Organization
GRAY FACIAL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JAMES GRAY MD (FACIAL PLASTIC SURGEON)
(208) 631-6990
Entity
Organization
Contact information
Practice address
2593 N BIRD ST, BOISE, ID 83704-5649
(208) 631-6990
Mailing address
2593 N BIRD ST, BOISE, ID 83704-5649
(208) 631-6990
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
02/09/2025
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