NPI 1184375867

Idaho Skin Institute LLC

Organisation Dermatology Physician Chubbuck, ID

Practice location

Address: 147 W Chubbuck Rd, Chubbuck, ID 83202-2314
Phone: (208) 238-7546
Fax: (208) 237-9643

Authorised official

Name: Earl Stoddard
Title: Owner
Phone: (208) 238-7546

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Idaho →

Registry record

NPI: 1184375867
Entity type: Organization
NPI issued: 13 Jan 2022
Record last updated: 4 Feb 2025

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.