Organization · Type 2 NPI

Boise Skin Clinic PLLC

Dermatology Physician · Boise, ID

NPI number 1104220797 Active

Practice location

1636 S Hadley Ave
Boise, ID 83709-2684

Fax (208) 258-2079

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XM-9342 (ID)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1104220797

Boise Skin Clinic PLLC's National Provider Identifier is 1104220797, issued on Oct 10, 2014. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Boise, ID. The record was last updated on Jan 22, 2019.