Organization
ALPINE SURGICAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SHAW (PRACTICE MANAGER)
(208) 344-9115
Entity
Organization
Contact information
Practice address
403 S 11TH ST STE 300, BOISE, ID 83702-6968
(208) 344-9115
(208) 344-9113
Mailing address
403 S 11TH ST STE 300, BOISE, ID 83702-6968
(208) 344-9115
(208) 344-9113
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
02/09/2026
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