NPI 1184080210

Gabriel Guerrero, DO

Practitioner Dermatology Physician Eagle, ID

Practice location

Address: 74 N Fisher Park Way, Eagle, ID 83616-4704
Phone: (208) 391-7210
Fax: (208) 391-2130
Mailing address: 372 S Eagle Rd # 126, Eagle, ID 83616-5908

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence O-1094 (ID)

Other Dermatology providers in Idaho →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence O-1094 (ID)

Registry record

NPI: 1184080210
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2016
Record last updated: 31 Oct 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.