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

Idaho Skin Surgery Center, PC

Organization Dermatology Physician · NPI 1295908127

Idaho Skin Surgery Center, PC is a Dermatology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
3
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

1906 S Vista Ave
Boise, ID 83705-3453
Phone: (208) 433-1114
Fax: (208) 433-1115
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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 M-10116 (ID)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence M-10116 (ID)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence M-10116 (ID)

Record details

NPI number1295908127
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Scott — President · (208) 433-1114
NPI enumeratedApril 11, 2008
Last updated in NPPESDecember 12, 2014
Mailing address1906 S Vista Ave, Boise, ID 83705-3453

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