Slate Medical Aesthetics PLLC
Slate Medical Aesthetics PLLC is a Dermatology Physician in Pocatello, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
920 Deon Dr Ste APocatello, ID 83201-3069
Phone: (208) 904-0217
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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 number | 1386419273 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremy Monroe — Owner · (208) 904-0217 |
| NPI enumerated | November 20, 2023 |
| Last updated in NPPES | November 20, 2023 |
| Certification date | November 20, 2023 |
| Mailing address | 920 Deon Dr Ste A, Pocatello, ID 83201-3069 |
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