Mountain Pine Dermatology, PLLC
Mountain Pine Dermatology, PLLC is a Dermatology Physician in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2016.
- Licensed in
- ID
- In the registry since
- 2016
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4664 N Penngrove Way Ste 100Meridian, ID 83646-7442
Phone: (208) 898-7467
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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 O-0934 (ID) |
|---|
Record details
| NPI number | 1659827665 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Thomas — Owner · (208) 250-7433 |
| NPI enumerated | August 30, 2016 |
| Last updated in NPPES | July 5, 2020 |
| Certification date | July 5, 2020 |
| Mailing address | 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 |
Other providers in Meridian
-
Ryan J Harris, MD
3250 N Leslie Way Ste 110, Meridian, ID 83646-5362 · (208) 609-9500
-
Integrated Dermatology of Boise, LLC
3277 E Louise Dr Ste 360, Meridian, ID 83642-9359 · (208) 900-3376
-
Dr. Vienna Grayce Katana, DO
4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 · (208) 898-7467
-
Meridian Dermatology PLLC
3250 N Leslie Way Ste 110, Meridian, ID 83646-5362 · (208) 609-9500
-
Benjamin Merrill Perry, DO
4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 · (208) 898-7467
-
Dr. Alan J.a. Pitt, MD
1618 S Millennium Way Ste 100, Meridian, ID 83642-6457 · (208) 884-3376
-
Mark Noble Schwendiman, DO
1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 · (208) 884-3376
-
Dr. Richard Scott Thomas, DO
4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 · (208) 898-7467