Organization · Type 2 NPI

Idaho Skin Surgery Center, PC

Dermatology Physician · Boise, ID

NPI number 1295908127 Active

Practice location

1906 S Vista Ave
Boise, ID 83705-3453

Fax (208) 433-1115

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XM-10116 (ID)
MOHS-Micrographic Surgery Physician 207ND0101XM-10116 (ID)
Procedural Dermatology Physician 207NS0135XM-10116 (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 1295908127

Idaho Skin Surgery Center, PC's National Provider Identifier is 1295908127, issued on Apr 11, 2008. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Boise, ID. The record was last updated on Dec 12, 2014.