| NPI | 1417155284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M MALOFF Physician 208-232-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: ID M3508) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |