ADA WEST DERMATOLOGY, PC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1518973338- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1618 S MILLENIUM WAY STE 100, MERIDIAN, ID, 836426457
- Phone
- (208) 884-3376
- Fax
- (208) 884-0858
Specialties & Taxonomies
Dermatology
Primary License: ID #M5986