Organization
COMPREHENSIVE DERMATOLOGY OF IDAHO, PLLC
Active
Organization
COMPREHENSIVE DERMATOLOGY OF IDAHO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCOTT OWSLEY M.D. (OWNER)
(208) 467-7546
Entity
Organization
Contact information
Practice address
16111 N BRINSON ST STE 100, NAMPA, ID 83687-5509
(208) 467-7546
(208) 467-7500
Mailing address
16111 N BRINSON ST STE 100, NAMPA, ID 83687-5509
(208) 467-7546
(208) 467-7500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M8483
ID
363A00000X
Physician Assistant
PA280
ID
Other
Enumeration date
11/05/2011
Last updated
12/23/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up