EAGLE DERMATOLOGY, PLLC
Dermatology Physician · EAGLE, ID
Organization Active NPI 1417456385
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ✓ | O-1094 | ID |
| MOHS-Micrographic Surgery Physician | 207ND0101X | O-1094 | ID | |
| Dermatopathology Physician | 207ND0900X | O-1094 | ID | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | O-1094 | ID | |
| Pediatric Dermatology Physician | 207NP0225X | O-1094 | ID | |
| Procedural Dermatology Physician | 207NS0135X | O-1094 | ID |
Other Dermatology Physician providers in Idaho
- NPI 1184080210
- NPI 1699866822
- NPI 1215936034
- NPI 1649543323
- NPI 1942402169
- NPI 1518973338
- NPI 1902952930
- NPI 1306936794
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.