NPI 1255449898

High Valley Dermatology & Dermatologic Surgery, PC

Organisation MOHS-Micrographic Surgery Physician Idaho Falls, ID

Practice location

Address: 2375 E Sunnyside Rd STE J, Idaho Falls, ID 83404-8281
Phone: (208) 525-4888
Fax: (208) 525-4885

Authorised official

Name: James R Willis
Title: President
Phone: (208) 525-4888

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence M7012 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1255449898
Entity type: Organization
NPI issued: 25 Aug 2006
Record last updated: 22 Aug 2020

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.