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EAGLE DERMATOLOGY, PLLC

Dermatology Physician

NPI: 1417456385Organization

Specialties, Licenses & Credentials

Dermatology — MOHS-Micrographic Surgery

Code: 207ND0101X

O-1094(ID)

Dermatology — Dermatopathology

Code: 207ND0900X

O-1094(ID)

Dermatology — Clinical & Laboratory Dermatological Immunology

Code: 207NI0002X

O-1094(ID)

Dermatology — Pediatric Dermatology

Code: 207NP0225X

O-1094(ID)

Dermatology — Procedural Dermatology

Code: 207NS0135X

O-1094(ID)

Dermatology

Code: 207N00000X

O-1094(ID)

Contact & Hours

4.9(419)
Address
323 E RIVERSIDE DR STE 234
EAGLE, ID 83616

Quick Facts

NPI
1417456385
Entity Type
Organization
Medicare
Not confirmed
Specialties
6
Locations
1

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