NPI 1518973338

Ada West Dermatology, PC

Organisation Dermatology Physician Meridian, ID

Practice location

Address: 1618 S Millenium Way STE 100, Meridian, ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
Mailing address: 1618 S. Millennium Way Suite 100, Meridian, ID 83642-6457

Authorised official

Name: Colleen Jones
Title: Cfo
Phone: (208) 884-3376

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M5986 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1518973338
Entity type: Organization
NPI issued: 1 Aug 2006
Record last updated: 18 May 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.