NPI 1306209556

Garrett Coman, MD

Practitioner Dermatology Physician Ketchum, ID

Practice location

Address: St. Luke's Dermatology 191 5th Street West, Ketchum, ID 83340
Phone: (208) 725-2171
Mailing address: University Hospital 30 N 1900 E Room 4c104, Salt Lake City, UT 84132

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M-15211 (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1306209556
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2016
Record last updated: 29 Jun 2020

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.