Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERMATOLOGY OF EASTERN IDAHO PA
Active OrganizationDERMATOLOGY OF EASTERN IDAHO PA is a Specialist organization located in RIGBY, Idaho. NPI 1548259161 is currently active in the NPPES registry. Verify at CMS.
Specialist · RIGBY, ID
Registration Details
- NPI Number
- 1548259161
- Provider Type
- Organization
- NPI Issued
- Oct 17, 2005 (20.847458525645 yrs)
- Last Updated
- Jun 30, 2010
- License
-
M-6569 (ID)
Practice Information
- Address
-
703 RIGBY LAKE DRRIGBY, ID, 834425192Browse ID providers · Browse ZIP 83442
- Phone
- 2087450200
- Fax
- 2087450212
- Primary Specialty
-
Specialist
174400000X
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.