Idaho Dermatologic Surgery & Laser Center Pa in Boise - Mohs-micrographic Surgery
Idaho Dermatologic Surgery & Laser Center Pa - NPI 1649478454
Idaho Dermatologic Surgery & Laser Center Pa is a Mohs-micrographic Surgery in Boise, Idaho. Idaho Dermatologic Surgery & Laser Center Pa practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Idaho Dermatologic Surgery & Laser Center Pa is 1649478454. The last update date is 2013-02-07.
Idaho Dermatologic Surgery & Laser Center Pa's current location address is 999 N Curtis Rd, Boise, Idaho. You can contact this provider via phone number 2083279521 and fax number 2083279524. The mailing address for Idaho Dermatologic Surgery & Laser Center Pa is 999 N Curtis Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dermatologic Surgery & Laser Center Pa |
|---|---|
| Address | 999 N Curtis Rd, Boise, Idaho |
| Phone Number | 2083279521 |
| Fax Number | 2083279524 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cottingham J Teri |
| Credentials | M.D. |
| Telephone Number | 2083279521 |
NPI Number Detail
| NPI Number | 1649478454 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 999 N Curtis Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837061336 |
| Phone Number | 2083279521 |
| Fax Number | 2083279524 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | M-7506 |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805151100 | ID | -- | |
| 1139318 | ID | PTAN |
Post Comment/ Review Below
What is the Idaho Dermatologic Surgery & Laser Center Pa's unique identification number?
The Idaho Dermatologic Surgery & Laser Center Pa has been assigned the NPI (National Provider Identifier) Number 1649478454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Idaho Dermatologic Surgery & Laser Center Pa is geographically located?
The Idaho Dermatologic Surgery & Laser Center Pa is physically situated at the following location: 999 N Curtis Rd, Boise, ID, 837061336.
What is the Idaho Dermatologic Surgery & Laser Center Pa's area of specialization and corresponding taxonomy classification?
The Idaho Dermatologic Surgery & Laser Center Pa's specialty field is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their specialties.
When did the Idaho Dermatologic Surgery & Laser Center Pa receive its 1649478454?
The Idaho Dermatologic Surgery & Laser Center Pa was issued its 1649478454 on 2007-07-03, which is the date when the organization was assigned this unique identifier.
When was the Idaho Dermatologic Surgery & Laser Center Pa's information last updated?
The Idaho Dermatologic Surgery & Laser Center Pa's information was last updated on 2013-02-07.