OrganizationActive
High Valley Dermatology & Dermatologic Surgery, PC
NPI 1255449898 · MOHS-Micrographic Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1255449898
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Willis, President(208) 525-4888
- License
- M7012 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2375 E Sunnyside Rd Ste J
Idaho Falls, ID 83404-8281
Phone: (208) 525-4888
Fax: (208) 525-4885
Approximate (ZIP-level) locationGet directions
Mailing address
2375 E Sunnyside Rd Ste J
Idaho Falls, ID 83404-8281
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.