Dermatology and Allergies Clinic at Teton Valley Pllc

NPI #1871311647 in Driggs, Idaho

Provider Information

NPI Number
1871311647
Entity Type
Organization
Organization Name
Dermatology and Allergies Clinic at Teton Valley Pllc
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 1, 2024
Last Updated
Oct 1, 2024

Practice Location

Address
40 E LITTLE AVE
City
Driggs
State
Idaho
ZIP Code
83422-5138
Phone
(208) 354-8220

Authorized Official

Name
LYUDMYLA NORGART, ARNP
Title
BUSINESS OWNER
Phone
(813) 230-4241

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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