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

High Valley Dermatology & Dermatologic Surgery, PC

Organization MOHS-Micrographic Surgery Physician · NPI 1255449898

High Valley Dermatology & Dermatologic Surgery, PC is an MOHS-Micrographic Surgery Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
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

2375 E Sunnyside Rd Ste J
Idaho Falls, ID 83404-8281
Phone: (208) 525-4888
Fax: (208) 525-4885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence M7012 (ID)

Record details

NPI number1255449898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Willis — President · (208) 525-4888
NPI enumeratedAugust 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281

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