Organization · Type 2 NPI

Issc Fruitland

Dermatology Physician · Fruitland, ID

NPI number 1568112688 Active

Practice location

975 NW 16th St.
Fruitland, ID 83619

Fax (208) 452-7550

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed

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 1568112688

Issc Fruitland's National Provider Identifier is 1568112688, issued on Mar 24, 2022. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Fruitland, ID. The record was last updated on Jul 16, 2025.