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

Issc Fruitland

Organization Dermatology Physician · NPI 1568112688

Issc Fruitland is a Dermatology Physician in Fruitland, Idaho. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

975 NW 16th St
Fruitland, ID 83619
Phone: (208) 452-7450
Fax: (208) 452-7550
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1568112688
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdaho Skin Surgery Center, PC
Authorized official Celia Ramos — Practice Manager · (208) 452-7450
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 16, 2025
Certification dateJuly 3, 2025
Mailing address975 Nw 16th St., Fruitland, ID 83619

Other providers in Fruitland