Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology Center of Canyon County

Organization Dermatology Physician · NPI 1578694238

Dermatology Center of Canyon County provides Dermatology Physician services in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

318 2nd St S
Nampa, ID 83651-3765 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 467-3006
Fax: (208) 467-1155
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M7519 (ID)

Record details

NPI number1578694238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gavin Powell — President · (208) 467-3006
Other names Dermatology & Laser Center Of Canyon County
NPI enumeratedMarch 7, 2007
Last updated in NPPESOctober 15, 2007
Mailing address318 2nd St S, Nampa, ID 83651-3765

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