MEDICARE: IDAHO DERMATOLOGY MOHS COLLECTIVE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ND0101X	MOHS-Micrographic Surgery Physician
2	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1750093571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDAHO DERMATOLOGY MOHS COLLECTIVE PLLC

Provider Business Mailing Address
First Line	:	3668 N HARBOR LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-6914
Country	:	US
Telephone Number	:	208-600-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	3668 N HARBOR LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-6914
Country	:	US
Telephone Number	:	208-600-1330
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. HEATHER LAYHER
Credential	:	DO
Telephone Number	:	208-600-1330

Provider Enumeration Date	:	12/23/2022
Last Update Date	:	02/13/2023

Similar Medicare Providers

1851430995 — LAKE HARBOR INTERNAL MEDICINE ASSOC LLC
Practice Location Address:

3684 NORTH HARBOR LANE
BOISE, ID
83703-6914

Practice Phone: 208-853-4556
Practice Fax: 208-853-5544

1083800015 — LAKE HARBOR INTERNAL MEDICINE
Practice Location Address:

3684 N HARBOR LN
BOISE, ID
83703-6914

Practice Phone: 208-853-4556
Practice Fax: 208-853-5544

1164734240 — MRS. CHRISTIE JEANNE BEATTIE NP-C
Practice Location Address:

3668 N HARBOR LN
BOISE, ID
83703-6914

Practice Phone: 800-230-7526
Practice Fax: 208-376-9444

1851658355 — DR. HEATHER LAYHER D.O.
Practice Location Address:

3668 N HARBOR LN
BOISE, ID
83703-6914

Practice Phone: 208-600-1330
Practice Fax:

1720660376 — TAYLOR LEE HARRIS
Practice Location Address:

4232 N WATERFORD PL
BOISE, ID
83703-3490

Practice Phone: 312-965-2997
Practice Fax:

1740143916 — ERYKA PESKIN
Practice Location Address:

2319 N 28TH ST
BOISE, ID
83703-5609

Practice Phone: 917-822-8953
Practice Fax:

Directions to “IDAHO DERMATOLOGY MOHS COLLECTIVE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.