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Alpine Dermatology Clinic P.c.
Medical Specialty Clinic/Center in Rexburg, Idaho
NPI 1588802391

Alpine Dermatology Clinic P.c. is a Medical Specialty Clinic/Center based in Rexburg, ID and is specialized in Medical Specialty. Alpine Dermatology Clinic P.c. practices in Rexburg, ID. The NPI Number for Alpine Dermatology Clinic P.c. is 1588802391 and holds a License No. O-0508 (Idaho).

The current practice location address for Alpine Dermatology Clinic P.c. is 1049 Summers Dr, Rexburg, ID and can be reached out via phone at 208-359-4841.

Location: 1049 Summers Dr, Rexburg, ID, 83440-5335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588802391
Provider Name
Alpine Dermatology Clinic P.c.
Credential
Provider Entity Type
Organization
Address
1049 Summers Dr, Rexburg, ID, 83440-5335
Phone Number
208-359-4841
Fax Number
Provider Enumeration Date
02/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1049 Summers Dr
City
Rexburg
State
Idaho
Zip
83440-5335
Phone Number
208-359-4841
Fax Number
person
Provider Business Mailing Address Details
Address
1049 Summers Dr
City
Rexburg
State
Idaho
Zip
83440-5335
Phone Number
208-359-4841
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
O-0508 (Idaho)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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