Organization
DERMATOLOGY AND ALLERGIES CLINIC AT TETON VALLEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYUDMYLA NORGART ARNP (BUSINESS OWNER)
(813) 230-4241
Entity
Organization
Contact information
Practice address
40 E LITTLE AVE, DRIGGS, ID 83422-5138
(208) 354-8220
Mailing address
PO BOX 967, VICTOR, ID 83455-0967
(813) 230-4241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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