Gem State Dermatology

LBN: Integrated Dermatology Of Idaho Llc
Gem State Dermatology is an health care organization with primary practice located at 388 E Parkcenter Blvd , Boise ID 83706-3942. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Integrated Dermatology Of Idaho Llc can be contacted via phone (208) 424-9101, or through Queen, Jeffrey via phone (561) 314-2000.

Contact Information

Primary practice address
388 E Parkcenter Blvd Boise ID 83706-3942
Phone: (208) 424-9101
Fax: (208) 424-5072
Website:
Map and Directions
Authorized official contact:
Name: Queen, Jeffrey
Phone: (561) 314-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1508345091
LBN Legal business name Integrated Dermatology Of Idaho Llc
DBA Doing business as Gem State Dermatology
Authorized official Queen, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2018
Last updated Aug 7th, 2018 - about 6 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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