Snake River Dermatology, Pa in Fruitland - Dermatology
Snake River Dermatology, Pa - NPI 1528263670
Snake River Dermatology, Pa is a Dermatology in Fruitland, Idaho. Snake River Dermatology, Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Snake River Dermatology, Pa is 1528263670. The last update date is 2013-02-04.
Snake River Dermatology, Pa's current location address is 1611 N Whitley Dr, Fruitland, Idaho. You can contact this provider via phone number 2084525999 and fax number 2084524499. The mailing address for Snake River Dermatology, Pa is 1611 N Whitley Dr, Fruitland, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Snake River Dermatology, Pa |
|---|---|
| Address | 1611 N Whitley Dr, Fruitland, Idaho |
| Phone Number | 2084525999 |
| Fax Number | 2084524499 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRINCIPAL |
|---|---|
| Authorized Official Name | Andersen Arben Brock |
| Credentials | MD |
| Telephone Number | 2084525999 |
NPI Number Detail
| NPI Number | 1528263670 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2013-02-04 |
Provider Mailing Address Detail
| Address | 1611 N Whitley Dr |
|---|---|
| City | Fruitland |
| State | Idaho (ID) |
| Post Code | 83619 |
| Phone Number | 2084525999 |
| Fax Number | 2084524499 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | M3809 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Snake River Dermatology, Pa by the Centers for Medicare & Medicaid Services?
The Snake River Dermatology, Pa has been assigned the NPI (National Provider Identifier) 1528263670 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Snake River Dermatology, Pa is physically located?
The Snake River Dermatology, Pa is physically situated at the following address: 1611 N Whitley Dr, Fruitland, ID, 83619.
What is Snake River Dermatology, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Snake River Dermatology, Pa is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did the Snake River Dermatology, Pa receive the assignment of its 1528263670 from the Centers for Medicare & Medicaid Services?
The Snake River Dermatology, Pa was issued its 1528263670 by the Centers for Medicare & Medicaid Services on 2007-06-19.
When was the information regarding Snake River Dermatology, Pa most recently updated?
The details pertaining to the Snake River Dermatology, Pa, including its address, specialty, and other relevant information, were last refreshed on 2013-02-04.