Jan Deblieck Md Pa in Boise - Dermatology
Jan Deblieck Md Pa - NPI 1497960983
Jan Deblieck Md Pa is a Dermatology in Boise, Idaho. Jan Deblieck Md Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jan Deblieck Md Pa is 1497960983. The last update date is 2007-07-17.
Jan Deblieck Md Pa's current location address is 13176 W Persimmon Ln, Boise, Idaho. You can contact this provider via phone number 2089395030 and fax number 2089391892. The mailing address for Jan Deblieck Md Pa is 13176 W Persimmon Ln, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jan Deblieck Md Pa |
|---|---|
| Address | 13176 W Persimmon Ln, Boise, Idaho |
| Phone Number | 2089395030 |
| Fax Number | 2089391892 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN- |
|---|---|
| Authorized Official Name | Deblieck Jennifer |
| Credentials | M.D. |
| Telephone Number | 2089395030 |
NPI Number Detail
| NPI Number | 1497960983 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 13176 W Persimmon Ln |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837131986 |
| Phone Number | 2089395030 |
| Fax Number | 2089391892 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | M7045 |
|
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 Jan Deblieck Md Pa's 1497960983?
The Jan Deblieck Md Pa's NPI (National Provider Identifier) Number is 1497960983. 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 Jan Deblieck Md Pa?
The Jan Deblieck Md Pa is physically situated at 13176 W Persimmon Ln, in the city of Boise, state of ID, with the postal code 837131986.
What is Jan Deblieck Md Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jan Deblieck Md Pa's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When was the Jan Deblieck Md Pa's 1497960983 issued?
The Jan Deblieck Md Pa's 1497960983 was issued on 2007-05-10.
When was the information regarding Jan Deblieck Md Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jan Deblieck Md Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-17.
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