Organization
DERMATOLOGY CLINIC OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H STEWART PHD. M.D. (PRESIDENT)
(208) 939-4599
Entity
Organization
Contact information
Practice address
7733 W EMERALD ST, BOISE, ID 83704-9020
(208) 376-3220
(208) 322-7370
Mailing address
7733 W EMERALD ST, BOISE, ID 83704-9020
(208) 376-3220
(208) 322-7370
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
06/27/2013
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