IndividualActive
Gabriel Guerrero, D.O.
NPI 1184080210 · Dermatology Physician · Eagle, ID
Provider details
- NPI number
- 1184080210
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- O-1094 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
74 N Fisher Park Way
Eagle, ID 83616-4704
Phone: (208) 391-7210
Fax: (208) 391-2130
Approximate (ZIP-level) locationGet directions
Mailing address
372 S Eagle Rd # 126
Eagle, ID 83616-5908
Registry dates
- Enumerated
- 2016-01-05
- Last updated
- 2023-10-31
- Certified
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.