institution
Idaho Dermatologic Surgery & Laser Center Pa
Medical Specialty Clinic/Center in Boise, Idaho
NPI 1649478454

Idaho Dermatologic Surgery & Laser Center Pa is a Medical Specialty Clinic/Center based in Boise, ID and is specialized in Medical Specialty. Idaho Dermatologic Surgery & Laser Center Pa practices in Boise, ID. The NPI Number for Idaho Dermatologic Surgery & Laser Center Pa is 1649478454 and holds a License No. M-7506 (Idaho).

The current practice location address for Idaho Dermatologic Surgery & Laser Center Pa is 1488 N Knights Dr, Boise, ID and can be reached out via phone at 208-345-4050 and via fax at 208-327-9524.

Location: 1488 N Knights Dr, Boise, ID, 83706-6721
institution
Provider Profile Details
NPI Number
1649478454
Provider Name
Idaho Dermatologic Surgery & Laser Center Pa
Credential
Provider Entity Type
Organization
Address
1488 N Knights Dr, Boise, ID, 83706-6721
Phone Number
208-345-4050
Fax Number
208-327-9524
Provider Enumeration Date
07/03/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1139318 01 ID PTAN
805151100 05 ID
institution
Provider Business Practice Location Address Details
Address
1488 N Knights Dr
City
State
Zip
83712-6557
Phone Number
208-345-4050
Fax Number
208-327-9524
person
Provider Business Mailing Address Details
Address
1488 N Knights Dr
City
State
Zip
83712-6557
Phone Number
208-345-4050
Fax Number
208-327-9524
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
License No.
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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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
License No.
M-7506 (Idaho)
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 healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
License No.
M-7506 (Idaho)
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 surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
M-7506 (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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