Idaho Dermatologic Surgery & Laser Center PA

NPI #1649478454 in Boise, Idaho

Provider Information

NPI Number: 1649478454
Entity Type: Organization
Organization Name: Idaho Dermatologic Surgery & Laser Center PA
Primary Specialty: Dermatology - MOHS-Micrographic Surgery
Enumeration Date: Jul 3, 2007
Last Updated: Feb 23, 2024

Practice Location

Address: 1488 N KNIGHTS DR
City: Boise
State: Idaho
ZIP Code: 83712-6557
Phone: (208) 345-4050

Authorized Official

Name: DR. TERI J COTTINGHAM, M.D.
Title: OWNER
Phone: (208) 869-2869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Teri J Cottingham, M.D.	Dermatology - MOHS-Micrographic Surgery	Boise	AI Deep Dive
DR. Daniel R Marshall, DO	Dermatology - MOHS-Micrographic Surgery	Rexburg	AI Deep Dive
Brandon Lynn Miner, D.O	Dermatology - MOHS-Micrographic Surgery	Idaho Falls	AI Deep Dive
Kurtis B Reed, M.D.	Dermatology - MOHS-Micrographic Surgery	Twin Falls	AI Deep Dive

Organizations

Provider Name	Specialty	City
High Valley Dermatology & Dermatologic Surgery, PC	Dermatology - MOHS-Micrographic Surgery	Idaho Falls	AI Deep Dive

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