High Valley Dermatology And Surgery

LBN: High Valley Dermatology And Surgery
High Valley Dermatology And Surgery is an health care organization with primary practice located at 2085 Providence Way , Idaho Falls ID 83404-4945. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. High Valley Dermatology And Surgery can be contacted via phone (208) 525-4888, or through Miner, Brandon via phone (208) 525-4888.

Contact Information

Primary practice address
2085 Providence Way Idaho Falls ID 83404-4945
Phone: (208) 525-4888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miner, Brandon Doctor of Osteopathy (DO)
Phone: (208) 525-4888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X O-0568 Idaho

Profile Details

NPI number 1063840288
LBN Legal business name High Valley Dermatology And Surgery
DBA Doing business as
Authorized official Miner, Brandon Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2013
Last updated Oct 25th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063840288 NPPES
Other 1528279189 NPI

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