High Valley Dermatology & Dermatologic Surgery LLC
NPI #1891025334 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1891025334
- Entity Type
- Organization
- Organization Name
- High Valley Dermatology & Dermatologic Surgery LLC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Jan 6, 2010
- Last Updated
- Jan 6, 2010
Practice Location
- Address
- 2085 PROVIDENCE WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-4945
- Phone
- (208) 525-4888
Authorized Official
- Name
- LINDSAY D SEWELL, M.D.
- Title
- MANAGER
- Phone
- (208) 525-4888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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