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Idaho Falls Dermatology P A
Specialist in Idaho Falls, Idaho
NPI 1487700464

Idaho Falls Dermatology P A is a Specialist based in Idaho Falls, ID. Idaho Falls Dermatology P A practices in Idaho Falls, ID. The NPI Number for Idaho Falls Dermatology P A is 1487700464 and holds a License No. 5809M (Idaho).

The current practice location address for Idaho Falls Dermatology P A is 2001 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-522-8945. You can also correspond with Idaho Falls Dermatology P A through the mailing address at 2001 S WOODRUFF AVE, IDAHO FALLS, ID - 83404-6374 (mailing address contact number: 208-522-8945).

Location: 2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
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Provider Profile Details
NPI Number
1487700464
Provider Name
Idaho Falls Dermatology P A
Credential
Provider Entity Type
Organization
Address
2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
Phone Number
208-522-8945
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807962200 05 ID
77186 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-522-8945
Fax Number
person
Provider Business Mailing Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-522-8945
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
5809M (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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