Organization · Type 2 NPI
Idaho Dermatologic Surgery & Laser Center PA
MOHS-Micrographic Surgery Physician · Boise, ID
Practice location
1488 N Knights Dr
Boise, ID 83712-6557
Fax (208) 327-9524
Mailing address
967 E Parkcenter Blvd # 142
Boise, ID 83706-6721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | M-7506 (ID) |
| MOHS-Micrographic Surgery Physician Primary | 207ND0101X | M-7506 (ID) |
| Procedural Dermatology Physician | 207NS0135X | M-7506 (ID) |
| Medical Specialty Clinic/Center | 261QM2500X | None listed |
MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…
About NPI 1649478454
Idaho Dermatologic Surgery & Laser Center PA's National Provider Identifier is 1649478454, issued on Jul 3, 2007. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Boise, ID. The record was last updated on Feb 23, 2024.