Physician Skin Care
NPI #1023151156 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1023151156
- Entity Type
- Organization
- Organization Name
- Physician Skin Care
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 730 S WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-5285
- Phone
- (208) 542-9111
Authorized Official
- Name
- MRS. CANDACE MARIE BUNNAGE
- Title
- BILLING MANAGER
- Phone
- (208) 542-9111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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