specializing in dermatology in Blackfoot, Idaho

NPI: 1457110298

Provider Type

2

Practice Locations

Mailing Location

326 POPLAR ST STE 101

BLACKFOOT, ID 83221

📞 9862750003

📠 9862750005

Practice Location

326 POPLAR ST STE 101

BLACKFOOT, ID 83221

📞 9862750003

📠 9862750005

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:3/14/2024
Last Updated:7/26/2024

Credentials

Primary Credential: