Gem State Dermatology, Pa in Boise - Dermatology
Gem State Dermatology, Pa - NPI 1912040270
Gem State Dermatology, Pa is a Dermatology in Boise, Idaho. Gem State Dermatology, Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Gem State Dermatology, Pa is 1912040270. The last update date is 2014-12-02.
Gem State Dermatology, Pa's current location address is Po Box 1603, Boise, Idaho. You can contact this provider via phone number 2084249101 and fax number 2084245072. The mailing address for Gem State Dermatology, Pa is Po Box 1603, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gem State Dermatology, Pa |
|---|---|
| Address | Po Box 1603, Boise, Idaho |
| Phone Number | 2084249101 |
| Fax Number | 2084245072 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Morgan Michelle |
| Telephone Number | 2084249101 |
NPI Number Detail
| NPI Number | 1912040270 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2014-12-02 |
Provider Mailing Address Detail
| Address | Po Box 1603 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837021603 |
| Phone Number | 2084249101 |
| Fax Number | 2084245072 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | M7247 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805054600 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gem State Dermatology, Pa by the Centers for Medicare & Medicaid Services?
The Gem State Dermatology, Pa has been assigned the NPI (National Provider Identifier) 1912040270. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gem State Dermatology, Pa is physically located?
The Gem State Dermatology, Pa is situated at the following address: Po Box 1603, Boise, ID 837021603.
What is Gem State Dermatology, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gem State Dermatology, Pa's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
When was the Gem State Dermatology, Pa's 1912040270 issued?
The Gem State Dermatology, Pa's 1912040270 was issued on 2007-02-15.
As of what date were the details pertaining to Gem State Dermatology, Pa last refreshed?
The information related to the Gem State Dermatology, Pa, including its address, specialty, and other relevant details, was last updated on 2014-12-02.