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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOISE SKIN CLINIC PLLC

Active Organization

BOISE SKIN CLINIC PLLC is a Dermatology organization located in BOISE, Idaho. NPI 1104220797 is currently active in the NPPES registry. Verify at CMS.

Dermatology · BOISE, ID

Registration Details

NPI Number
1104220797
Provider Type
Organization
NPI Issued
Oct 10, 2014 (11.85350159421 yrs)
Last Updated
Jan 22, 2019
License
M-9342 (ID)

Practice Information

Address
1636 S HADLEY AVE
BOISE, ID, 837092684
Browse ID providers · Browse ZIP 83709
Phone
2082097898
Fax
2082582079
Primary Specialty
Dermatology
207N00000X

Other Dermatology Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.