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

Integrated Dermatology of Idaho LLC

Organization Dermatology Physician · NPI 1508345091

Integrated Dermatology of Idaho LLC provides Dermatology Physician services in Boise, Idaho. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

388 E Parkcenter Blvd
Boise, ID 83706-3942
Phone: (208) 424-9101
Fax: (208) 424-5072
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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 number1508345091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Owner · (561) 314-2000
Other names Gem State Dermatology
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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