GEM STATE DERMATOLOGY PA NPI 1912040270

NPI Details

GEM STATE DERMATOLOGY, PA is a dermatology in Boise, ID. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. GEM STATE DERMATOLOGY, PA NPI is 1912040270. The provider is registered as an organization entity type.

The provider's business location address is:

388 E. PARKCENTER BLVD.
BOISE, ID
ZIP 83706
Phone: (208) 424-9101
Fax: (208) 424-5072

The provider's authorized official is Michelle Morgan .
The authorized official title is Practice Manager and has the following contact phone number (208) 424-9101.

The CLIA number assigned to this NPI record is 13D0935092 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 12/2/2014.

Taxonomy Codes

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Other Identifiers

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