Russell H Griffiths, Mdpa

LBN: Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.
Russell H Griffiths, Mdpa is an health care organization with primary practice located at 100 E Idaho Street, Suite 303 , Boise ID 83712-6269. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. can be contacted via phone (208) 433-1736, or through Griffiths, Russell H via phone (208) 433-1736.

Contact Information

Primary practice address
100 E Idaho Street, Suite 303 Boise ID 83712-6269
Phone: (208) 433-1736
Fax: (208) 433-1738
Website:
Map and Directions
Authorized official contact:
Name: Griffiths, Russell H Doctor of Medicine (MD)
Phone: (208) 433-1736

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X M7454 Idaho

Profile Details

NPI number 1184899973
LBN Legal business name Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.
DBA Doing business as Russell H Griffiths, Mdpa
Authorized official Griffiths, Russell H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated May 8th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1184899973 NPPES
Idaho MEDICAID 805132700

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