TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC

MERIDIAN, ID
NPI1598271645
Entity TypeOrganization
Authorized ContactDUSTIN R PORTELA
President
208-351-8088
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: ID  O-1052)
Enumeration Date2017-12-26
Last Update Date2024-04-08
Business Address
TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC
2535 E FAIRVIEW AVE
MERIDIAN, ID 83642-8072
Phone number: 208-519-4333
Mailing Address
TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC
2535 E FAIRVIEW AVE
MERIDIAN, ID 83642
Phone number: 208-351-8088
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