Dermatology Of Eastern Idaho Pa in Rigby - Specialist
Dermatology Of Eastern Idaho Pa - NPI 1548259161
Dermatology Of Eastern Idaho Pa is a Specialist in Rigby, Idaho. Dermatology Of Eastern Idaho Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Of Eastern Idaho Pa is 1548259161. The last update date is 2010-06-30.
Dermatology Of Eastern Idaho Pa's current location address is 703 Rigby Lake Dr, Rigby, Idaho. You can contact this provider via phone number 2087450200 and fax number 2087450212. The mailing address for Dermatology Of Eastern Idaho Pa is 703 Rigby Lake Dr, Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Of Eastern Idaho Pa |
|---|---|
| Address | 703 Rigby Lake Dr, Rigby, Idaho |
| Phone Number | 2087450200 |
| Fax Number | 2087450212 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bishop Kay |
| Credentials | M.D. |
| Telephone Number | 2087450200 |
NPI Number Detail
| NPI Number | 1548259161 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2010-06-30 |
Provider Mailing Address Detail
| Address | 703 Rigby Lake Dr |
|---|---|
| City | Rigby |
| State | Idaho (ID) |
| Post Code | 834425192 |
| Phone Number | 2087450200 |
| Fax Number | 2087450212 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M-6569 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806512200 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dermatology Of Eastern Idaho Pa?
The Dermatology Of Eastern Idaho Pa has been issued the NPI (National Provider Identifier) 1548259161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dermatology Of Eastern Idaho Pa's facilities are situated?
The facilities of Dermatology Of Eastern Idaho Pa are physically located at the following address: 703 Rigby Lake Dr, Rigby, ID, 834425192.
What is Dermatology Of Eastern Idaho Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dermatology Of Eastern Idaho Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did Dermatology Of Eastern Idaho Pa receive its 1548259161 assignment?
The Dermatology Of Eastern Idaho Pa was assigned its 1548259161 on 2005-10-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Dermatology Of Eastern Idaho Pa most recently updated or revised?
The details related to Dermatology Of Eastern Idaho Pa, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-30.