High Valley Dermatology And Surgery

NPI 1063840288 - Dermatology - 207ND0101X

NPI Details
NPI 1063840288
Enumeration Date 10/25/2013
Last Updated 10/25/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRANDON BRANDON
Position OFFICE MANAGER
Phone (208) 525-4888
Fax
Practice Location
2085 PROVIDENCE WAY
IDAHO FALLS ID, 83404-4945, US
Phone (208) 525-4888
Fax
Business Location
2085 PROVIDENCE WAY
IDAHO FALLS ID, 83404-4945, US
Phone
Fax
Toxanomy
Taxonomy Code 207ND0101X
License State Idaho
License Number O-0568
Remove 1063840288 NPI Number
 

According to our database, High Valley Dermatology And Surgery NPI is 1063840288, taxonomy code is 207ND0101X and license number is O-0568, license state is located at Idaho. High Valley Dermatology And Surgery physically located at 2085 Providence Way, Idaho Falls ID, 83404-4945. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063840288 NPI number is provided on an as is basis without warranty of any kind. 1063840288 is maintained by the National Plan & Provider Enumeration System. The contents of High Valley Dermatology And Surgery are for informational purposes only.