NPI 1417495615

Boise Dermatology

Organisation Dermatology Physician Meridian, ID

Practice location

Address: 3109 S Meridian Rd, Meridian, ID 83642-7088
Phone: (202) 716-0051

Authorised official

Name: Naomi Beth Brooks
Title: Dermatolgist
Phone: (202) 716-0051

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M-11311 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1417495615
Entity type: Organization
NPI issued: 7 Feb 2017
Record last updated: 7 Feb 2017

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.