Individual
DR. GABRIEL GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
74 N FISHER PARK WAY, EAGLE, ID 83616-4704
(208) 391-7210
(208) 391-2130
Mailing address
372 S EAGLE RD # 126, EAGLE, ID 83616-5908
(208) 391-7210
(208) 391-2130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
O-1094
ID
207ND0101X
MOHS-Micrographic Surgery Physician
O-1094
ID
Other
Enumeration date
01/05/2016
Last updated
10/31/2023
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