Organization
ISSC FRUITLAND
Active
Parent organization
IDAHO SKIN SURGERY CENTER, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO SKIN SURGERY CENTER, PC
Authorized official
CELIA RAMOS (PRACTICE MANAGER)
(208) 452-7450
Entity
Organization
Contact information
Practice address
975 NW 16TH ST., FRUITLAND, ID 83619
(208) 452-7450
(208) 452-7550
Mailing address
975 NW 16TH ST., FRUITLAND, ID 83619
(208) 452-7450
(208) 452-7550
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
07/16/2025
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