NPI age
20 years
Enumerated 2005-07-18
Across 102 active dermatology providers in Idaho.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 003663100 | |
| 05 (ID) | 805487300 | |
| 05 (ID) | 805947800 | |
| 05 (ID) | 806523200 |
Multi-provider organization. 4 individual providers on file at this primary address.
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