High Valley Dermatology & Dermatologic Surgery, PC
NPI #1255449898 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1255449898
- Entity Type
- Organization
- Organization Name
- High Valley Dermatology & Dermatologic Surgery, PC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2375 E SUNNYSIDE RD STE J
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8281
- Phone
- (208) 525-4888
Authorized Official
- Name
- JAMES R WILLIS, M.D.
- Title
- PRESIDENT
- Phone
- (208) 525-4888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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