NPI 1780346809

Meridian Dermatology PLLC

Organisation Dermatology Physician Meridian, ID

Practice location

Address: 3250 N Leslie Way STE 110, Meridian, ID 83646-5362
Phone: (208) 609-9500
Mailing address: 1940 S Bonito Way STE 190, Meridian, ID 83642-5618

Authorised official

Name: Ryan Jeffrey Harris
Title: Owner, Physician
Phone: (434) 987-3922

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Idaho →

Registry record

NPI: 1780346809
Entity type: Organization
NPI issued: 6 Oct 2021
Record last updated: 22 Feb 2023

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.