Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EAGLE DERMATOLOGY, PLLC
Active OrganizationEAGLE DERMATOLOGY, PLLC is a Dermatology organization located in EAGLE, Idaho. NPI 1417456385 is currently active in the NPPES registry. Verify at CMS.
Dermatology · EAGLE, ID
Registration Details
- NPI Number
- 1417456385
- Provider Type
- Organization
- NPI Issued
- Feb 6, 2018 (8.5277234815689 yrs)
- Last Updated
- Feb 6, 2018
- Licenses
-
O-1094 (ID)O-1094 (ID)O-1094 (ID)O-1094 (ID)O-1094 (ID)
Practice Information
- Address
-
323 E RIVERSIDE DR STE 234EAGLE, ID, 836166865Browse ID providers · Browse ZIP 83616
- Phone
- 2083917210
- Fax
- 2083912130
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
Other Dermatology Organizations in EAGLE, ID
| Name | NPI |
|---|---|
| KELLER SKIN & CANCER CARE PC | 1649543323 |
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.