Dermatology
SNAKE RIVER DERMATOLOGY, 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 Plan acceptance stays unpublished until the practice reports it.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 1528263670 · enumerated 2007-06-19 · record updated 2013-02-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. BROCK ANDERSEN MD, Principal Officer · (208) 452-5999
Other names: GERALD G. OVERLY, MD, PA
Addresses and phones
- Practice location 1611 N WHITLEY DR, #7, FRUITLAND, ID, 83619 (208) 452-5999 Fax (208) 452-4499 Google Maps Apple Maps OpenStreetMap
- Mailing address 1611 N WHITLEY DR, SUITE #7, FRUITLAND, ID, 83619 (208) 452-5999 Fax (208) 452-4499 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License M3809 ID
- Dermatology 207N00000X · Primary · License M-11462 ID
In this directory
Locations and evidence
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Practice location
FRUITLAND, ID, 83619
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.