Dermatology Center Of Canyon County in Nampa - Dermatology
Dermatology Center Of Canyon County - NPI 1578694238
Dermatology Center Of Canyon County is a Dermatology in Nampa, Idaho. Dermatology Center Of Canyon County practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dermatology Center Of Canyon County is 1578694238. The last update date is 2007-10-15.
Dermatology Center Of Canyon County's current location address is 318 2nd St S, Nampa, Idaho. You can contact this provider via phone number 2084673006 and fax number 2084671155. The mailing address for Dermatology Center Of Canyon County is 318 2nd St S, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Center Of Canyon County |
|---|---|
| Address | 318 2nd St S, Nampa, Idaho |
| Phone Number | 2084673006 |
| Fax Number | 2084671155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Powell R Gavin |
| Credentials | M.D. |
| Telephone Number | 2084673006 |
NPI Number Detail
| NPI Number | 1578694238 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 318 2nd St S |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836513765 |
| Phone Number | 2084673006 |
| Fax Number | 2084671155 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | M7519 |
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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 Dermatology Center Of Canyon County's 1578694238?
The Dermatology Center Of Canyon County's NPI (National Provider Identifier) Number is 1578694238. 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 Dermatology Center Of Canyon County?
The Dermatology Center Of Canyon County is physically situated at 318 2Nd St S, in the city of Nampa, state of ID, with the postal code 836513765.
What is the Dermatology Center Of Canyon County's area of specialization and corresponding taxonomy classification?
The Dermatology Center Of Canyon County's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1578694238 assigned to Dermatology Center Of Canyon County?
The Dermatology Center Of Canyon County was issued its 1578694238 on 2007-03-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dermatology Center Of Canyon County, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dermatology Center Of Canyon County, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-15.
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