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Contact Information

DERMATOLOGY CLINIC OF IDAHO
7733 W EMERALD ST
BOISE, ID83704-9020
 Phone: 208-376-3220
 Fax: 208-322-7370
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY CLINIC OF IDAHO

NPI Number 1811942188
LBN Legal business name DERMATOLOGY CLINIC OF IDAHO
Authorized official JAMES STEWART - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 06/27/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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