Individual
STEVEN L KARASSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 W 5TH ST, KETCHUM, ID 83340
(208) 725-2171
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M5900
ID
207ND0900X
Dermatopathology Physician
M5900
ID
Other
Enumeration date
05/18/2006
Last updated
09/24/2013
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