OrganizationActive
Idaho Skin Surgery Center, PC
NPI 1295908127 · Dermatology Physician · Boise, ID
Provider details
- NPI number
- 1295908127
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jared Scott, President(208) 433-1114
- License
- M-10116 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1906 S Vista Ave
Boise, ID 83705-3453
Phone: (208) 433-1114
Fax: (208) 433-1115
Approximate (ZIP-level) locationGet directions
Mailing address
1906 S Vista Ave
Boise, ID 83705-3453
Registry dates
- Enumerated
- 2008-04-11
- Last updated
- 2014-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.