Organization
BOISE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI BETH BROOKS MD (DERMATOLGIST)
(202) 716-0051
Entity
Organization
Contact information
Practice address
3109 S MERIDIAN RD, MERIDIAN, ID 83642-7088
(202) 716-0051
Mailing address
3109 S MERIDIAN RD, MERIDIAN, ID 83642-7088
(202) 716-0051
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M-11311
ID
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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