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

Idaho Skin Institute LLC

Organization Dermatology Physician · NPI 1184375867

Idaho Skin Institute LLC is a Dermatology Physician in Chubbuck, Idaho. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

147 W Chubbuck Rd
Chubbuck, ID 83202-2314
Phone: (208) 238-7546
Fax: (208) 237-9643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1344 Hiland Ave Ste D, Burley, ID 83318-1564 — (208) 572-6005
  • 1411 Falls Ave E Ste 1002, Twin Falls, ID 83301-3459 — (208) 595-5424

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1184375867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Earl Stoddard — Owner · (208) 238-7546
NPI enumeratedJanuary 13, 2022
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address147 W Chubbuck Rd, Chubbuck, ID 83202-2314

Other providers in Chubbuck