ADA DERMATOLOGY, P.A. is a procedural dermatology dermatology in Boise, ID. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). ADA DERMATOLOGY, P.A. NPI is 1952483299. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6454 W EMERALD STREET
BOISE, ID
ZIP 83704-734
Phone: (208) 377-0820
The provider's authorized official is Richard Dale Blickenstaff .
The authorized official title is President and has the following contact phone number (208) 377-0820.
The CLIA number assigned to this NPI record is 13D0521684 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/19/2006 and was last updated on 1/30/2012.