Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

CT Derm PC

Organization Dermatology Physician · NPI 1902843485

CT Derm PC is a Dermatology Physician in Fruitland, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

811 NW 12th St
Fruitland, ID 83619-2268
Phone: (208) 452-7450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1902843485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Thornfeldt — Owner · (208) 452-7450
NPI enumeratedJune 1, 2006
Last updated in NPPESMarch 27, 2015
Mailing address811 Nw 12th St, Fruitland, ID 83619-2268

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