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Idaho Skin Institute LLC — NPI 1184375867, Chubbuck, ID | NPI Central

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NPI 1184375867

OrganizationActive

Idaho Skin Institute LLC

NPI 1184375867 · Dermatology Physician · Chubbuck, ID

Provider details

NPI number: 1184375867
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Earl Stoddard, Owner(208) 238-7546

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians

Practice location

147 W Chubbuck Rd

Chubbuck, ID 83202-2314

Phone: (208) 238-7546

Fax: (208) 237-9643

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

147 W Chubbuck Rd

Chubbuck, ID 83202-2314

Additional practice locations (2)

1344 Hiland Ave Ste D
Burley, ID 83318-1564
Phone: (208) 572-6005
1411 Falls Ave E Ste 1002
Twin Falls, ID 83301-3459
Phone: (208) 595-5424

Registry dates

Enumerated: 2022-01-13
Last updated: 2025-02-04
Certified: 2025-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.