MOUNTAIN PINE DERMATOLOGY, PLLC

MERIDIAN, ID
NPI1659827665
Entity TypeOrganization
Authorized ContactRICHARD SCOTT THOMAS
Owner
208-250-7433
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: ID  O-0934)
Enumeration Date2016-08-30
Last Update Date2020-07-05
Business Address
MOUNTAIN PINE DERMATOLOGY, PLLC
4664 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646-7442
Phone number: 208-898-7467
Mailing Address
MOUNTAIN PINE DERMATOLOGY, PLLC
4664 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646-7442
Phone number: 208-898-7467
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