Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEM STATE DERMATOLOGY, PA
Active OrganizationGEM STATE DERMATOLOGY, PA is a Dermatology organization located in BOISE, Idaho. NPI 1912040270 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BOISE, ID
Registration Details
- NPI Number
- 1912040270
- Provider Type
- Organization
- NPI Issued
- Feb 15, 2007 (19.50272881833 yrs)
- Last Updated
- Dec 2, 2014
- Licenses
-
M7247 (ID)PA377 (ID)M7247 (ID)
Practice Information
- Address
-
388 E. PARKCENTER BLVD.BOISE, ID, 83706Browse ID providers · Browse ZIP 83706
- Phone
- 2084249101
- Fax
- 2084245072
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Dermatology
Other Dermatology Organizations in BOISE, ID
| Name | NPI |
|---|---|
| DERMATOLOGY CLINIC OF IDAHO | 1811942188 |
| JOSEPH P. FETZEK M.D., P.A. | 1982736435 |
| JAN DEBLIECK MD PA | 1497960983 |
| IDAHO SKIN SURGERY CENTER, PC | 1295908127 |
| LINDIE BORTON M.D. PA | 1700040532 |
| BOISE SKIN CLINIC PLLC | 1104220797 |
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.