Boise Dermaesthetics, Llc in Boise - Family Medicine
Boise Dermaesthetics, Llc - NPI 1639117153
Boise Dermaesthetics, Llc is a Family Medicine in Boise, Idaho. Boise Dermaesthetics, Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Boise Dermaesthetics, Llc is 1639117153. The last update date is 2007-09-12.
Boise Dermaesthetics, Llc's current location address is 6126 W Emerald St, Boise, Idaho. You can contact this provider via phone number 2083236525. The mailing address for Boise Dermaesthetics, Llc is 6126 W Emerald St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Boise Dermaesthetics, Llc |
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Address | 6126 W Emerald St, Boise, Idaho |
Phone Number | 2083236525 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | BILLING MA |
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Authorized Official Name | Lundy D Cheryl |
Telephone Number | 2084526794 |
NPI Number Detail
NPI Number | 1639117153 |
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Provider Enumeration Date | 2006-06-04 |
Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
Address | 6126 W Emerald St |
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City | Boise |
State | Idaho (ID) |
Post Code | 837048857 |
Phone Number | 2083236525 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identifier code issued to Boise Dermaesthetics, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Boise Dermaesthetics, Llc has been assigned the NPI (National Provider Identifier) 1639117153. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Boise Dermaesthetics, Llc?
The Boise Dermaesthetics, Llc is physically situated at 6126 W Emerald St, in the city of Boise, state of ID, with the postal code 837048857.
What is Boise Dermaesthetics, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Boise Dermaesthetics, Llc's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639117153 to Boise Dermaesthetics, Llc?
The Centers for Medicare & Medicaid Services assigned the 1639117153 to Boise Dermaesthetics, Llc on 2006-06-04.
As of what date were the Boise Dermaesthetics, Llc's details last updated?
The information pertaining to the Boise Dermaesthetics, Llc, including its address, specialty, and other details, was most recently updated on 2007-09-12.
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