Alpine Dermatology Clinic P.C.

LBN: Alpine Dermatology Clinic P.C.
Alpine Dermatology Clinic P.C. is an health care organization with primary practice located at 1049 Summers Dr , Rexburg ID 83440-5335. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Alpine Dermatology Clinic P.C. can be contacted via phone (208) 359-4841, or through Marshall, Daniel R via phone (208) 359-4841.

Contact Information

Primary practice address
1049 Summers Dr Rexburg ID 83440-5335
Phone: (208) 359-4841
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Daniel R Doctor of Osteopathy (DO)
Phone: (208) 359-4841

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X O-0508 Idaho

Profile Details

NPI number 1588802391
LBN Legal business name Alpine Dermatology Clinic P.C.
DBA Doing business as
Authorized official Marshall, Daniel R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2009
Last updated Apr 5th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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