<Unavail>

LBN: Snake River Dermatology, Pa
<Unavail> is an health care organization with primary practice located at 1611 N Whitley Dr #7, Fruitland ID 83619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Snake River Dermatology, Pa can be contacted via phone (208) 452-5999, or through Andersen, Brock Arben via phone (208) 452-5999.

Contact Information

Primary practice address
1611 N Whitley Dr #7 Fruitland ID 83619
Phone: (208) 452-5999
Fax: (208) 452-4499
Website:
Map and Directions
Authorized official contact:
Name: Andersen, Brock Arben Doctor of Medicine (MD)
Phone: (208) 452-5999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M3809 Idaho
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M-11462 Idaho

Profile Details

NPI number 1528263670
LBN Legal business name Snake River Dermatology, Pa
DBA Doing business as <Unavail>
Authorized official Andersen, Brock Arben Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated Feb 4th, 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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