Eagle Dermatology, Pllc

NPI #1417456385 in Eagle, Idaho

Provider Information

NPI Number
1417456385
Entity Type
Organization
Organization Name
Eagle Dermatology, Pllc
Primary Specialty
Dermatology
Enumeration Date
Feb 6, 2018
Last Updated
Feb 6, 2018

Practice Location

Address
323 E RIVERSIDE DR STE 234
City
Eagle
State
Idaho
ZIP Code
83616-6865
Phone
(208) 391-7210

Authorized Official

Name
MRS. JENNIFER ANNETTE GUERRERO
Title
PRACTICE MANAGER
Phone
(208) 391-7210

Specialties & Taxonomy Codes

Specialty
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery
Dermatology - DermatopathologyDermatopathology
Dermatology - Clinical & Laboratory Dermatological ImmunologyClinical & Laboratory Dermatological Immunology
Dermatology - Pediatric DermatologyPediatric Dermatology
Dermatology - Procedural DermatologyProcedural Dermatology
Dermatology

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