Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERGREEN DERMATOPATHOLOGY LLC
Active OrganizationEVERGREEN DERMATOPATHOLOGY LLC is a Dermatopathology organization located in COEUR D ALENE, Idaho. NPI 1174187165 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1174187165
- Provider Type
- Organization
- NPI Issued
- Apr 25, 2019 (7.3141622239803 yrs)
- Last Updated
- Sep 6, 2019
Practice Information
- Address
-
421 E LAKESIDE AVE STE 105COEUR D ALENE, ID, 838142848Browse ID providers · Browse ZIP 83814
- Phone
- 2082779704
- Fax
- 2082779704
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Dermatopathology
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.