Alpine Dermatology Clinic P.c.

NPI #1588802391 in Rexburg, Idaho

Provider Information

NPI Number
1588802391
Entity Type
Organization
Organization Name
Alpine Dermatology Clinic P.c.
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Feb 2, 2009
Last Updated
Apr 5, 2019

Practice Location

Address
1049 SUMMERS DR
State
Idaho
ZIP Code
83440-5335
Phone
(208) 359-4841

Authorized Official

Name
DR. DANIEL R MARSHALL, D.O.
Title
OWNER, CEO
Phone
(208) 359-4841

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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