EAGLE DERMATOLOGY, PLLC
Dermatology
Active
Organization
NPI: 1417456385
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | No | O-1094 (ID) |
| Dermatology - Dermatopathology | 207ND0900X | No | O-1094 (ID) |
| Dermatology - Clinical & Laboratory Dermatological Immunology | 207NI0002X | No | O-1094 (ID) |
| Dermatology - Pediatric Dermatology | 207NP0225X | No | O-1094 (ID) |
| Dermatology - Procedural Dermatology | 207NS0135X | No | O-1094 (ID) |
| Dermatology | 207N00000X | Yes | O-1094 (ID) |
Frequently Asked Questions
NPI 1417456385 is the National Provider Identifier for EAGLE DERMATOLOGY, PLLC, a Dermatology provider located in Eagle, ID. This NPI was enumerated on February 6, 2018.
Quick Facts
- NPI
- 1417456385
- Type
- Organization
- Enumerated
- Feb 6, 2018
- Last Updated
- Feb 6, 2018
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