Individual
JAMES ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DR, SUITE 201, KETCHUM, ID 83340
(208) 725-2171
(208) 725-2015
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
10955715-1205
UT
207N00000X
Dermatology Physician
Primary
1871360
ID
207N00000X
Dermatology Physician
MED-PHYS-LIC-109898
MT
207ND0900X
Dermatopathology Physician
MED-PHYS-LIC-109898
MT
Other
Enumeration date
04/09/2017
Last updated
11/12/2025
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