EVERGREEN DERMATOPATHOLOGY LLC

Dermatopathology Physician

NPI: 1174187165Organization

Specialties, Licenses & Credentials

Dermatology Physician

Dermatology

Code: 207N00000X

Dermatopathology PhysicianPrimary

Dermatology — Dermatopathology

Code: 207ND0900X

Contact & Hours

Address: 421 E LAKESIDE AVE STE 105
COEUR D ALENE, ID 83814
Phone: (208) 277-9704

Quick Facts

NPI: 1174187165
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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