NPI age
17 years
Enumerated 2008-07-10
Across 102 active dermatology providers in Idaho.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | A51454 | UPIN |
| 01 (ID) | M6227 | LICENSE |
| 01 (CA) | G49757 | LICENSE |
Multi-provider organization. 3 individual providers on file at this primary address.
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