INTEGRATED DERMATOLOGY OF BOISE, LLC

MERIDIAN, ID
NPI1528704863
Entity TypeOrganization
Authorized ContactMARY ELLEN J LUCHETTI
Authorized Group Official
208-900-3376
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2022-05-10
Last Update Date2022-12-05
Business Address
INTEGRATED DERMATOLOGY OF BOISE, LLC
3277 E LOUISE DR STE 360
MERIDIAN, ID 83642-9359
Phone number: 208-900-3376
Mailing Address
INTEGRATED DERMATOLOGY OF BOISE, LLC
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone number: 561-314-2000
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