Idaho Skin Surgery Center, Pc in Boise - Dermatology
Idaho Skin Surgery Center, Pc - NPI 1295908127
Idaho Skin Surgery Center, Pc is a Dermatology in Boise, Idaho. Idaho Skin Surgery Center, Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Idaho Skin Surgery Center, Pc is 1295908127. The last update date is 2014-12-12.
Idaho Skin Surgery Center, Pc's current location address is 1906 S Vista Ave, Boise, Idaho. You can contact this provider via phone number 2084331114 and fax number 2084331115. The mailing address for Idaho Skin Surgery Center, Pc is 1906 S Vista Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Skin Surgery Center, Pc |
|---|---|
| Address | 1906 S Vista Ave, Boise, Idaho |
| Phone Number | 2084331114 |
| Fax Number | 2084331115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Scott Jared |
| Credentials | MD |
| Telephone Number | 2084331114 |
NPI Number Detail
| NPI Number | 1295908127 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2014-12-12 |
Provider Mailing Address Detail
| Address | 1906 S Vista Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837053453 |
| Phone Number | 2084331114 |
| Fax Number | 2084331115 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | M-10116 |
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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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What is the Idaho Skin Surgery Center, Pc's 1295908127?
The Idaho Skin Surgery Center, Pc's NPI (National Provider Identifier) Number is 1295908127. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Idaho Skin Surgery Center, Pc?
The Idaho Skin Surgery Center, Pc is physically situated at 1906 S Vista Ave, in the city of Boise, state of ID, with the postal code 837053453.
What is Idaho Skin Surgery Center, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Idaho Skin Surgery Center, Pc's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When was the Idaho Skin Surgery Center, Pc's 1295908127 issued?
The Idaho Skin Surgery Center, Pc's 1295908127 was issued on 2008-04-11.
When was the information regarding Idaho Skin Surgery Center, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Idaho Skin Surgery Center, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-12-12.