specializing in dermatology in Boise, Idaho

NPI: 1154489821

Provider Type

2

Practice Locations

Mailing Location

1919 N 21ST ST

BOISE, ID 83702

📞 2083313513

Practice Location

1618 MILLENIUM WAY

#100

MERIDIAN, ID 83642

📞 2088843376

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/5/2006
Last Updated:7/1/2010

Credentials

Primary Credential:
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