NPI age
8 years
Enumerated 2018-02-06
● Active Type 2 · Organization
Eagle Dermatology, Pllc
Eagle Dermatology, Pllc is 1 of 102 dermatology organizations in Idaho.
Primary specialty
Dermatology
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Guerrero
Practice Manager
Last NPPES update
2018-02-06
Source: monthly bulk 2026-05
How this organization compares
Across 102 active dermatology providers in Idaho.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 37% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
323 E Riverside Dr Ste 234
Eagle, ID 836166865
Mailing address
372 S Eagle Rd # 126
Eagle, ID 836165908
Authorized official
Jennifer Annette Guerrero
Practice Manager
📞 2083917210
Specialties
-
Dermatology PrimaryA 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...
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DermatologyThe 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...
-
DermatologyA dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue...
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DermatologyA dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these...
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DermatologyA pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
-
DermatologyProcedural 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,...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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