Idaho Skin Surgery Center, Pc

LBN: Idaho Skin Surgery Center, Pc
Idaho Skin Surgery Center, Pc is an health care organization with primary practice located at 1906 S Vista Ave , Boise ID 83705-3453. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Idaho Skin Surgery Center, Pc can be contacted via phone (208) 433-1114, or through Scott, Jared via phone (208) 433-1114.

Contact Information

Primary practice address
1906 S Vista Ave Boise ID 83705-3453
Phone: (208) 433-1114
Fax: (208) 433-1115
Website:
Map and Directions
Authorized official contact:
Name: Scott, Jared Doctor of Medicine (MD)
Phone: (208) 433-1114

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M-10116 Idaho
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X M-10116 Idaho
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X M-10116 Idaho

Profile Details

NPI number 1295908127
LBN Legal business name Idaho Skin Surgery Center, Pc
DBA Doing business as
Authorized official Scott, Jared Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Dec 12th, 2014 - about 10 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.

Request for update

Popular Providers