Snake River Dermatology, Pa, NPI 1528263670
Dermatology Physician in Fruitland, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1528263670 |
| NPI Entity Type | Organization |
| Provider Name |
Snake River Dermatology, Pa
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1611 N Whitley Dr, #7, Fruitland, ID, US |
| Provider Mailing Address | 1611 N Whitley Dr, Suite #7, Fruitland, ID, US, 83619 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. MD Brock Arben Andersen II |
| Official Position | PRINCIPAL OFFICER |
| Phone | 208-452-5999 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Dermatology Physician |
| Classification | |
| Group | |
| License No. | M-11462 |
| License State | ID |
| Description | A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| M3809 | ID | No |
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