NPI 1063840288

High Valley Dermatology & Dermatologic Surgery PLLC

Organisation MOHS-Micrographic Surgery Physician Idaho Falls, ID

Practice location

Address: 2085 Providence Way, Idaho Falls, ID 83404-4945
Phone: (208) 525-4888

Authorised official

Name: Brandon Miner
Title: Office Manager
Phone: (208) 525-4888

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence O-0568 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1063840288
Entity type: Organization
NPI issued: 25 Oct 2013
Record last updated: 13 Apr 2026

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.