Dermatology Center of Canyon County

NPI #1578694238 in Nampa, Idaho

Provider Information

NPI Number: 1578694238
Entity Type: Organization
Organization Name: Dermatology Center of Canyon County
Primary Specialty: Dermatology
Enumeration Date: Mar 7, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 318 2ND ST S
City: Nampa
State: Idaho
ZIP Code: 83651-3765
Phone: (208) 467-3006

Authorized Official

Name: DR. GAVIN R POWELL, M.D.
Title: PRESIDENT
Phone: (208) 467-3006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Warren N. Miller, M.D.	Dermatology	Nampa	AI Deep Dive
DR. Gavin Ross Powell, MD	Dermatology	Nampa	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Comprehensive Dermatology of Idaho, Pllc	Dermatology	Nampa	AI Deep Dive

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