| NPI | 1750093571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LAYHER Owner/CEO 208-600-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2023-02-13 |