Mountain State Breast & General Surgery Pllc

LBN: Mountain State Breast & General Surgery Pllc
Mountain State Breast & General Surgery Pllc is an health care organization with primary practice located at 1525 S Owyhee St , Boise ID 83705-6014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mountain State Breast & General Surgery Pllc can be contacted via phone (714) 812-5711, or through Menen, Rhiana S via phone (208) 392-3354.

Contact Information

Primary practice address
1525 S Owyhee St Boise ID 83705-6014
Phone: (714) 812-5711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Menen, Rhiana S Doctor of Medicine (MD)
Phone: (208) 392-3354

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1720776164
LBN Legal business name Mountain State Breast & General Surgery Pllc
DBA Doing business as
Authorized official Menen, Rhiana S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2023
Last updated Jan 18th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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