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

IDAHO FALLS DERMATOLOGY P A

Active Organization

IDAHO FALLS DERMATOLOGY P A is a Specialist organization located in IDAHO FALLS, Idaho. NPI 1487700464 is currently active in the NPPES registry. Verify at CMS.

Specialist · IDAHO FALLS, ID

Registration Details

NPI Number
1487700464
Provider Type
Organization
NPI Issued
Jan 25, 2007 (19.573334687402 yrs)
Last Updated
Jul 5, 2016
License
5809M (ID)

Practice Information

Address
2001 S WOODRUFF AVE
STE 12A
IDAHO FALLS, ID, 834046374
Browse ID providers · Browse ZIP 83404
Phone
2085228945
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in IDAHO FALLS, 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.