Search › Idaho › 207YX0905X
Jeffrey Burry, D.O
NPI 1275698367 · on the registry since 2006
Practice
- Address
- 330 Warner Dr
Lewiston, ID 83501 - Phone
- (208) 746-0193
- Fax
- (208) 746-7074
- Organisation at this address
- Valley Facial Plastics & Ent, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207YX0905X
207YX0905X
- Also registered as
- 207YX0905X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho