Snake River Dermatology, PA

NPI #1528263670 in Fruitland, Idaho

Provider Information

NPI Number: 1528263670
Entity Type: Organization
Organization Name: Snake River Dermatology, PA
Primary Specialty: Dermatology
Enumeration Date: Jun 19, 2007
Last Updated: Feb 4, 2013

Practice Location

Address: 1611 N WHITLEY DR
Address 2: #7
City: Fruitland
State: Idaho
ZIP Code: 83619
Phone: (208) 452-5999

Authorized Official

Name: DR. BROCK ARBEN ANDERSEN II, MD
Title: PRINCIPAL OFFICER
Phone: (208) 452-5999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Individual Providers

Provider Name	Specialty	City
Carl R Thornfeldt, MD	Dermatology	Fruitland	AI Deep Dive
DR. Brock Arben Andersen, M.D.	Dermatology	Fruitland	AI Deep Dive
DR. Matthew C Reeck, MD	Dermatology	Ketchum	AI Deep Dive

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Issc Fruitland Part of Idaho Skin Surgery Center, PC	Dermatology	Fruitland	AI Deep Dive
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