Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA
Active OrganizationIDAHO DERMATOLOGIC SURGERY & LASER CENTER PA is a Obesity Medicine organization located in BOISE, Idaho. NPI 1649478454 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · BOISE, ID
Registration Details
- NPI Number
- 1649478454
- Provider Type
- Organization
- NPI Issued
- Jul 3, 2007 (19.125219896842 yrs)
- Last Updated
- Feb 23, 2024
- Licenses
-
M-7506 (ID)M-7506 (ID)M-7506 (ID)
Practice Information
- Address
-
1488 N KNIGHTS DRBOISE, ID, 837126557Browse ID providers · Browse ZIP 83712
- Phone
- 2083454050
- Fax
- 2083279524
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Medical Specialty Clinic
- Additional Specialty
- Obesity Medicine
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.