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Organization

SCHOLES DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER THAD SCHOLES M.D. (DERMATOLOGIST)
(208) 734-5555
Entity
Organization

Contact information

Practice address
526 SHOUP AVE W STE A, TWIN FALLS, ID 83301-5050
(208) 734-5555
(208) 734-4790
Mailing address
PO BOX 31001-3306, PASADENA, CA 91110-3306
(208) 734-5555
(208) 734-4790

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366810442
ID
05
1558313528
ID
Enumeration date
09/08/2015
Last updated
07/07/2022
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