Organization · Type 2 NPI

Wound & Skin Care of Idaho LLC

Dermatology Physician · Idaho Falls, ID

NPI number 1740120583 Active

Practice location

1542 Elk Creek Dr
Idaho Falls, ID 83404-8322

Fax (307) 333-0299

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
Obesity Medicine (Preventive Medicine) Physician 2083B0002XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Chronic Care Clinical Nurse Specialist 364SC2300XNone 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 1740120583

Wound & Skin Care of Idaho LLC's National Provider Identifier is 1740120583, issued on Mar 31, 2026. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 17, 2026.