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Ct Derm PC — NPI 1902843485, Fruitland, ID | NPI Central

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NPI 1902843485

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Ct Derm PC

NPI 1902843485 · Dermatology Physician · Fruitland, ID

Provider details

NPI number: 1902843485
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Carl Thornfeldt, Owner(208) 452-7450

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians

Practice location

811 Nw 12th St

Fruitland, ID 83619-2268

Phone: (208) 452-7450

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

811 Nw 12th St

Fruitland, ID 83619-2268

Registry dates

Enumerated: 2006-06-01
Last updated: 2015-03-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.