NPI 1497960983

Jan Deblieck MD PA

Organisation Dermatology Physician Boise, ID

Practice location

Address: 13176 W Persimmon Ln, Boise, ID 83713-1986
Phone: (208) 939-5030
Fax: (208) 939-1892

Authorised official

Name: Jennifer Deblieck
Title: Physician-Owner
Phone: (208) 939-5030

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M7045 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1497960983
Entity type: Organization
NPI issued: 10 May 2007
Record last updated: 17 Jul 2007

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.