OrganizationActive
Slate Medical Aesthetics PLLC
NPI 1386419273 · Dermatology Physician · Pocatello, ID
Provider details
- NPI number
- 1386419273
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremy Monroe, Owner(208) 904-0217
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
920 Deon Dr Ste a
Pocatello, ID 83201-3069
Phone: (208) 904-0217
Approximate (ZIP-level) locationGet directions
Mailing address
920 Deon Dr Ste a
Pocatello, ID 83201-3069
Registry dates
- Enumerated
- 2023-11-20
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.