Dermatology of Eastern Idaho PA
Dermatology of Eastern Idaho PA provides Specialist services in Rigby, Idaho. Licensed in Idaho. Registered with an NPI since 2005.
- Licensed in
- ID
- In the registry since
- 2005
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
703 Rigby Lake DrRigby, ID 83442-5192 Not confirmed with CMS for 16 years — call before visiting
Phone: (208) 745-0200
Fax: (208) 745-0212
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence M-6569 (ID) |
|---|
Record details
| NPI number | 1548259161 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kay Bishop — Owner · (208) 745-0200 |
| NPI enumerated | October 17, 2005 |
| Last updated in NPPES | June 30, 2010 |
| Mailing address | 703 Rigby Lake Dr, Rigby, ID 83442-5192 |
Other providers in Rigby
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Kay Bishop, MD
703 Rigby Lake Dr, Rigby, ID 83442-5192 · (208) 745-0200