Treasure Valley Dermatology & Skin Cancer Center, Pllc

LBN: Treasure Valley Dermatology & Skin Cancer Center, Pllc
Treasure Valley Dermatology & Skin Cancer Center, Pllc is an health care organization with primary practice located at 2535 E Fairview Ave , Meridian ID 83642-8072. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Treasure Valley Dermatology & Skin Cancer Center, Pllc can be contacted via phone (208) 519-4333, or through Portela, Dustin R via phone (208) 351-8088.

Contact Information

Primary practice address
2535 E Fairview Ave Meridian ID 83642-8072
Phone: (208) 519-4333
Fax: (208) 205-9134
Website:
Map and Directions
Authorized official contact:
Name: Portela, Dustin R Doctor of Osteopathy (DO)
Phone: (208) 351-8088

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X O-1052 Idaho

Profile Details

NPI number 1598271645
LBN Legal business name Treasure Valley Dermatology & Skin Cancer Center, Pllc
DBA Doing business as
Authorized official Portela, Dustin R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2017
Last updated Apr 8th, 2024 - about 2 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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