GEM STATE DERMATOLOGY, PA
Dermatology Physician · BOISE, ID
Organization Active NPI 1912040270
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ✓ | M7247 | ID |
| Medical Specialty Clinic/Center | 261QM2500X | M7247 | ID | |
| Physician Assistant | 363A00000X | PA377 | ID |
Other Dermatology Physician providers in Idaho
- NPI 1104220797
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- NPI 1508345091
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.