Organization
CENTER FOR AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE ELIZABETH DURBORAW MD (OWNER)
(208) 529-8232
Entity
Organization
Contact information
Practice address
2375 E SUNNYSIDE ROAD, SUITE G, IDAHO FALLS, ID 83404
(208) 529-8232
(866) 499-9979
Mailing address
2375 E SUNNYSIDE ROAD, SUITE G, IDAHO FALLS, ID 83404
(208) 529-8232
(866) 499-9979
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS
DV336
ID
Enumeration date
02/05/2007
Last updated
12/29/2015
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