Idaho Dermatologic Surgery & Laser Center Pa in Boise - Procedural Dermatology
Idaho Dermatologic Surgery & Laser Center Pa - NPI 1649478454
Idaho Dermatologic Surgery & Laser Center Pa is a Procedural Dermatology in Boise, Idaho. Idaho Dermatologic Surgery & Laser Center Pa practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Idaho Dermatologic Surgery & Laser Center Pa is 1649478454. The last update date is 2013-02-07.
Idaho Dermatologic Surgery & Laser Center Pa's current location address is 999 N Curtis Rd, Boise, Idaho. You can contact this provider via phone number 2083279521 and fax number 2083279524. The mailing address for Idaho Dermatologic Surgery & Laser Center Pa is 999 N Curtis Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dermatologic Surgery & Laser Center Pa |
|---|---|
| Address | 999 N Curtis Rd, Boise, Idaho |
| Phone Number | 2083279521 |
| Fax Number | 2083279524 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cottingham J Teri |
| Credentials | M.D. |
| Telephone Number | 2083279521 |
NPI Number Detail
| NPI Number | 1649478454 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 999 N Curtis Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837061336 |
| Phone Number | 2083279521 |
| Fax Number | 2083279524 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | M-7506 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805151100 | ID | -- | |
| 1139318 | ID | PTAN |
Post Comment/ Review Below
What is the Idaho Dermatologic Surgery & Laser Center Pa's unique identification number?
The Idaho Dermatologic Surgery & Laser Center Pa has been assigned the NPI (National Provider Identifier) Number 1649478454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Idaho Dermatologic Surgery & Laser Center Pa is geographically located?
The Idaho Dermatologic Surgery & Laser Center Pa is physically situated at the following location: 999 N Curtis Rd, Boise, ID, 837061336.
What is the Idaho Dermatologic Surgery & Laser Center Pa's area of specialization and corresponding taxonomy classification?
The Idaho Dermatologic Surgery & Laser Center Pa's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.
When did the Idaho Dermatologic Surgery & Laser Center Pa receive its 1649478454?
The Idaho Dermatologic Surgery & Laser Center Pa was issued its 1649478454 on 2007-07-03, which is the date when the organization was assigned this unique identifier.
When was the Idaho Dermatologic Surgery & Laser Center Pa's information last updated?
The Idaho Dermatologic Surgery & Laser Center Pa's information was last updated on 2013-02-07.