IDAHO FALLS DERMATOLOGY P A

IDAHO FALLS, ID
NPI1487700464
Entity TypeOrganization
Authorized ContactCORNELIUS PAUL BROOKE
M.D.
208-522-8945
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  5809M)
Enumeration Date2007-01-25
Last Update Date2016-07-05
Business Address
IDAHO FALLS DERMATOLOGY P A
2001 S WOODRUFF AVE STE 12A
IDAHO FALLS, ID 83404-6374
Phone number: 208-522-8945
Mailing Address
IDAHO FALLS DERMATOLOGY P A
2001 S WOODRUFF AVE STE 12A
IDAHO FALLS, ID 83404-6374
Phone number: 208-522-8945
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