1912040270 GEM STATE DERMATOLOGY, PA
Dermatology Physician
Active
Basic Information
- Organization Name
- GEM STATE DERMATOLOGY, PA
- Enumeration Date
- February 15, 2007
- Last Update
- December 2, 2014
- Authorized Official
- MS. MICHELLE MORGAN
PRACTICE MANAGER
Phone: (208) 424-9101
Practice Location
- Address
- 388 E. PARKCENTER BLVD.
BOISE, ID 83706 - Phone
- (208) 424-9101
- Fax
- (208) 424-5072
Mailing Address
- Address
- PO BOX 1603
BOISE, ID 837021603 - Phone
- (208) 424-9101
- Fax
- (208) 424-5072
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Medical Specialty Clinic/Center Medical Specialty | 261QM2500X | Clinic/Center | M7247 | ID | No |
| Physician Assistant | 363A00000X | Physician Assistant | PA377 | ID | No |
| Dermatology Physician | 207N00000X | Dermatology | M7247 | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805054600 | 05 | ID | N/A |
Frequently Asked Questions
What is GEM STATE DERMATOLOGY, PA's NPI number?
GEM STATE DERMATOLOGY, PA's NPI number is 1912040270.
Which doctor has NPI number 1912040270?
The doctor with NPI number 1912040270 is GEM STATE DERMATOLOGY, PA.
What is GEM STATE DERMATOLOGY, PA's practice address?
GEM STATE DERMATOLOGY, PA's practice address is 388 E. PARKCENTER BLVD., BOISE, ID, 83706.
Which doctor practices at 388 E. PARKCENTER BLVD., BOISE, ID, 83706?
GEM STATE DERMATOLOGY, PA practices at 388 E. PARKCENTER BLVD., BOISE, ID, 83706.
What is GEM STATE DERMATOLOGY, PA's mailing address?
GEM STATE DERMATOLOGY, PA's mailing address is PO BOX 1603, BOISE, ID, 837021603.
What is GEM STATE DERMATOLOGY, PA's phone number?
GEM STATE DERMATOLOGY, PA's phone number is (208) 424-9101.
Who is (208) 424-9101?
(208) 424-9101 is the phone number for GEM STATE DERMATOLOGY, PA.
What is GEM STATE DERMATOLOGY, PA's specialty?
GEM STATE DERMATOLOGY, PA's specialty is Dermatology Physician.
What type of doctor is GEM STATE DERMATOLOGY, PA?
GEM STATE DERMATOLOGY, PA is a Dermatology Physician.
Is GEM STATE DERMATOLOGY, PA a Dermatology?
Yes, GEM STATE DERMATOLOGY, PA is a Dermatology.
Is GEM STATE DERMATOLOGY, PA still practicing?
Yes, GEM STATE DERMATOLOGY, PA is currently practicing.
Is GEM STATE DERMATOLOGY, PA accepting new patients?
GEM STATE DERMATOLOGY, PA may be accepting new patients. Please call their office at (208) 424-9101 to inquire about availability.
Is NPI 1912040270 still active?
Yes, NPI 1912040270 is currently active.
Where does GEM STATE DERMATOLOGY, PA practice?
GEM STATE DERMATOLOGY, PA practices in BOISE, ID.