Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.

Dermatology, MOHS-Micrographic Surgery

IDAHO DERMATOLOGIC SURGERY & LASER CENTER PA

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1649478454 · enumerated 2007-07-03 · record updated 2024-02-23. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: Dr. TERI COTTINGHAM M.D., Owner · (208) 869-2869

Addresses and phones

Specialties

  • Dermatology 207N00000X · License M-7506 ID
  • Dermatology, Procedural Dermatology 207NS0135X · License M-7506 ID
  • Clinic/Center, Medical Specialty 261QM2500X
  • Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License M-7506 ID

In this directory

Locations and evidence

  • Practice location BOISE, ID, 837126557
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.