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

Integrated Dermatology of Idaho LLC

Organization Dermatology Physician · NPI 1508345091

Integrated Dermatology of Idaho LLC is a Dermatology Physician in Boise, Idaho. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

388 E Parkcenter Blvd
Boise, ID 83706-3942
Phone: (208) 424-9101
Fax: (208) 424-5072
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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 number1508345091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Owner · (561) 314-2000
Other names Gem State Dermatology
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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