OrganizationActive
High Valley Dermatology & Dermatologic Surgery PLLC
NPI 1891025334 · MOHS-Micrographic Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1891025334
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lindsay Sewell, Doctor(208) 525-4888
- License
- M10198 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2085 Providence Way
Idaho Falls, ID 83404-4945
Phone: (208) 525-4888
Fax: (208) 525-4885
Approximate (ZIP-level) locationGet directions
Mailing address
2085 Providence Way
Idaho Falls, ID 83404-4945
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.