Organization
JONATHAN KRAMER, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D KRAMER M.D. (OWNER, SURGEON)
(208) 344-4900
Entity
Organization
Contact information
Practice address
100 E IDAHO ST, SUITE 301, BOISE, ID 83712-6223
(208) 344-4900
(208) 385-7811
Mailing address
100 E IDAHO ST, SUITE 301, BOISE, ID 83712-6223
(208) 344-4900
(208) 385-7811
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M-8315
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M991
BLUE CROSS OF ID GRP #
ID
Enumeration date
04/17/2007
Last updated
08/22/2020
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