High Valley Dermatology & Dermatologic Surgery, Pc

LBN: High Valley Dermatology & Dermatologic Surgery, Pc
High Valley Dermatology & Dermatologic Surgery, Pc is an health care organization with primary practice located at 2375 E Sunnyside Rd Ste J , Idaho Falls ID 83404-8281. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. High Valley Dermatology & Dermatologic Surgery, Pc can be contacted via phone (208) 525-4888, or through Willis, James R via phone (208) 525-4888.

Contact Information

Primary practice address
2375 E Sunnyside Rd Ste J Idaho Falls ID 83404-8281
Phone: (208) 525-4888
Fax: (208) 525-4885
Website:
Map and Directions
Authorized official contact:
Name: Willis, James R Doctor of Medicine (MD)
Phone: (208) 525-4888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X M7012 Idaho

Profile Details

NPI number 1255449898
LBN Legal business name High Valley Dermatology & Dermatologic Surgery, Pc
DBA Doing business as
Authorized official Willis, James R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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