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JAMES ABBOTT MD

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1518490283
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
100 HOSPITAL DR SUITE 201, KETCHUM, ID, 83340
Phone
(208) 725-2171
Fax
(208) 725-2015

Specialties & Taxonomies

Dermatology Primary License: ID #1871360
Dermatology, Dermatopathology License: MT #MED-PHYS-LIC-109898
Dermatology License: MT #MED-PHYS-LIC-109898
Dermatology License: UT #10955715-1205

All Addresses

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

LOCATION

100 HOSPITAL DR SUITE 201

KETCHUM, ID, 83340

(208) 725-2171