1649478454 IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA

MOHS-Micrographic Surgery Physician

Active

Basic Information

Organization Name
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA
Enumeration Date
July 3, 2007
Last Update
February 23, 2024
Authorized Official
DR. TERI J COTTINGHAM M.D.
OWNER
Phone: (208) 869-2869

Practice Location

Address
1488 N KNIGHTS DR
BOISE, ID 837126557
Phone
(208) 345-4050
Fax
(208) 327-9524

Mailing Address

Address
967 E PARKCENTER BLVD # 142
BOISE, ID 837066721
Phone
(208) 345-4050
Fax
(208) 327-9524

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dermatology Physician
 207N00000X Dermatology M-7506 ID No
Procedural Dermatology Physician
Procedural Dermatology
 207NS0135X Dermatology M-7506 ID No
Medical Specialty Clinic/Center
Medical Specialty
 261QM2500X Clinic/Center N/A N/A No
MOHS-Micrographic Surgery Physician
MOHS-Micrographic Surgery
 207ND0101X Dermatology M-7506 ID Primary

Other Identifiers

Identifier Type State Issuer
1139318 01 ID PTAN
805151100 05 ID N/A

Frequently Asked Questions

What is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's NPI number?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's NPI number is 1649478454.
Which doctor has NPI number 1649478454?
The doctor with NPI number 1649478454 is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA.
What is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's practice address?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's practice address is 1488 N KNIGHTS DR, BOISE, ID, 837126557.
Which doctor practices at 1488 N KNIGHTS DR, BOISE, ID, 837126557?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA practices at 1488 N KNIGHTS DR, BOISE, ID, 837126557.
What is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's mailing address?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's mailing address is 967 E PARKCENTER BLVD # 142, BOISE, ID, 837066721.
What is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's phone number?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's phone number is (208) 345-4050.
Who is (208) 345-4050?
(208) 345-4050 is the phone number for IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA.
What is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's specialty?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA's specialty is MOHS-Micrographic Surgery Physician.
What type of doctor is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA is a MOHS-Micrographic Surgery Physician.
Is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA a MOHS-Micrographic Surgery?
Yes, IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA is a MOHS-Micrographic Surgery.
Is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA still practicing?
Yes, IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA is currently practicing.
Is IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA accepting new patients?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA may be accepting new patients. Please call their office at (208) 345-4050 to inquire about availability.
Is NPI 1649478454 still active?
Yes, NPI 1649478454 is currently active.
Where does IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA practice?
IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA practices in BOISE, ID.