Individual
BRET J RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6077 N EAGLE RD, BOISE, ID 83713-0997
(208) 939-9000
Mailing address
6077 N EAGLE RD, BOISE, ID 83713-0997
(208) 939-9000
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
M8251
ID
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
M8251
ID
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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