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Dermatology

IDAHO SKIN INSTITUTE LLC

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 Plan acceptance stays unpublished until the practice reports it.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 1184375867 · enumerated 2022-01-13 · record updated 2025-02-04. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: EARL STODDARD MD, Owner · (208) 238-7546

Addresses and phones

Practice location 147 W CHUBBUCK RD, CHUBBUCK, ID, 83202-2314 (208) 238-7546 Fax (208) 237-9643 Google Maps Apple Maps OpenStreetMap
Mailing address 147 W CHUBBUCK RD, CHUBBUCK, ID, 83202-2314 (208) 238-7546 Fax (208) 237-9643 Google Maps Apple Maps OpenStreetMap

Specialties

Dermatology 207N00000X · Primary

In this directory

ID Bannock County Chubbuck Dermatology

Locations and evidence

Practice location CHUBBUCK, ID, 832022314
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.