High Valley Dermatology & Dermatologic Surgery, Pc in Idaho Falls - Mohs-micrographic Surgery
High Valley Dermatology & Dermatologic Surgery, Pc - NPI 1255449898
High Valley Dermatology & Dermatologic Surgery, Pc is a Mohs-micrographic Surgery in Idaho Falls, Idaho. High Valley Dermatology & Dermatologic Surgery, Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for High Valley Dermatology & Dermatologic Surgery, Pc is 1255449898. The last update date is 2020-08-22.
High Valley Dermatology & Dermatologic Surgery, Pc's current location address is 2375 E Sunnyside Rd Ste J, Idaho Falls, Idaho. You can contact this provider via phone number 2085254888 and fax number 2085254885. The mailing address for High Valley Dermatology & Dermatologic Surgery, Pc is 2375 E Sunnyside Rd Ste J, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | High Valley Dermatology & Dermatologic Surgery, Pc |
|---|---|
| Address | 2375 E Sunnyside Rd Ste J, Idaho Falls, Idaho |
| Phone Number | 2085254888 |
| Fax Number | 2085254885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Willis R James |
| Credentials | M.D. |
| Telephone Number | 2085254888 |
NPI Number Detail
| NPI Number | 1255449898 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2375 E Sunnyside Rd Ste J |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834048281 |
| Phone Number | 2085254888 |
| Fax Number | 2085254885 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | M7012 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to High Valley Dermatology & Dermatologic Surgery, Pc by the Centers for Medicare & Medicaid Services?
The High Valley Dermatology & Dermatologic Surgery, Pc has been issued the NPI (National Provider Identifier) 1255449898, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where High Valley Dermatology & Dermatologic Surgery, Pc is geographically located?
The High Valley Dermatology & Dermatologic Surgery, Pc is physically situated at the following location: 2375 E Sunnyside Rd Ste J, Idaho Falls, ID, 834048281.
What is High Valley Dermatology & Dermatologic Surgery, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for High Valley Dermatology & Dermatologic Surgery, Pc is Mohs-micrographic Surgery, and the taxonomy code that categorizes this field of expertise is 207Nd0101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255449898 to High Valley Dermatology & Dermatologic Surgery, Pc?
The Centers for Medicare & Medicaid Services assigned the 1255449898 to High Valley Dermatology & Dermatologic Surgery, Pc on 2006-08-25.
When was the High Valley Dermatology & Dermatologic Surgery, Pc's information last updated?
The High Valley Dermatology & Dermatologic Surgery, Pc's information was last updated on 2020-08-22.
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