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Contact Information

ALPINE DERMATOLOGY CLINIC P.C.
1049 SUMMERS DR
REXBURG, ID83440-5335
 Phone: 208-359-4841
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for ALPINE DERMATOLOGY CLINIC P.C.

NPI Number 1588802391
LBN Legal business name ALPINE DERMATOLOGY CLINIC P.C.
Authorized official DANIEL MARSHALL - (OWNER, CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2009
Last updated 04/05/2019 - About 7 years ago
Identifiers
ID License # O-0508
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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