NPI 1023581055
Dermaclinical, INC.
Practice location
- Address
- 7154 W State St STE 397, Boise, ID 83714-7421
- Phone
- (208) 515-3349
- Fax
- (208) 692-8388
Authorised official
- Name
- Kathleen Perez
- Title
- Ceo
- Phone
- (208) 515-3349
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1023581055
- Entity type
- Organization
- NPI issued
- 2 Jan 2019
- Record last updated
- 3 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.