Comprehensive Dermatology of Idaho, PLLC
Comprehensive Dermatology of Idaho, PLLC is a Dermatology Physician in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16111 N Brinson St Ste 100Nampa, ID 83687-5509
Phone: (208) 467-7546
Fax: (208) 467-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence M8483 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA280 (ID) |
Record details
| NPI number | 1386921294 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Owsley — Owner · (208) 467-7546 |
| NPI enumerated | November 5, 2011 |
| Last updated in NPPES | December 23, 2019 |
| Certification date | December 23, 2019 |
| Mailing address | 16111 N Brinson St Ste 100, Nampa, ID 83687-5509 |
Other providers in Nampa
-
Andrea Cortes Dobson, PA
318 2nd St S, Nampa, ID 83651-3765 · (208) 467-3006
-
Dermatology Center of Canyon County
318 2nd St S, Nampa, ID 83651-3765 · (208) 467-3006
-
Warren N. Miller, MD
4400 E Flamingo Ave, Nampa, ID 83687-9203 · (208) 288-4970
-
Ryan Scott Owsley, MD
16111 N Brinson St Ste 100, Nampa, ID 83687-5509 · (208) 467-7546