NPI 1588018170

Peter Boothman, MD

Practitioner MOHS-Micrographic Surgery Physician Meridian, ID

Practice location

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

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence M-17515 (ID)

Other Dermatology providers in Idaho →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence MD.36224 (AL)

Registry record

NPI: 1588018170
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2016
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.