NPI 1669340048

Clinic 5c Dermatology

Organisation Dermatology Physician Coeur D Alene, ID

Practice location

Address: 1875 N Lakewood Dr Fl 3, Coeur D Alene, ID 83814-4928
Phone: (509) 343-0250

Authorised official

Name: Cameron Chesnut
Title: Owner
Phone: (509) 343-0250

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Idaho →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1669340048
Entity type: Organization
NPI issued: 27 Oct 2025
Record last updated: 27 Oct 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.