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Organization
SUMMIT DERMCARE, PLLC
Active
Organization
SUMMIT DERMCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS GILBERT PA-C (OWNER)
(208) 228-5600
Entity
Organization
Contact information
Practice address
707 N 12TH AVE, POCATELLO, ID 83201-4742
(208) 228-5600
(949) 909-2202
Mailing address
707 N 12TH AVE, POCATELLO, ID 83201-4742
(208) 228-5600
(949) 909-2202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
09/09/2026
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