OrganizationActive
Comprehensive Dermatology of Idaho, PLLC
NPI 1386921294 · Dermatology Physician · Nampa, ID
Provider details
- NPI number
- 1386921294
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Owsley, Owner(208) 467-7546
- License
- PA280 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16111 N Brinson St Ste 100
Nampa, ID 83687-5509
Phone: (208) 467-7546
Fax: (208) 467-7500
Approximate (ZIP-level) locationGet directions
Mailing address
16111 N Brinson St Ste 100
Nampa, ID 83687-5509
Registry dates
- Enumerated
- 2011-11-05
- Last updated
- 2019-12-23
- Certified
- 2019-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.