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NPI Code Detail

MEDICARE: DR. HEATHER LAYHER D.O.

MEDICARE:  DR. HEATHER  LAYHER  D.O.
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
1207N00000XDermatology PhysicianS6433TX
2207ND0101XMOHS-Micrographic Surgery PhysicianS6433TX
3207ND0101XMOHS-Micrographic Surgery PhysicianO-1048ID
4207N00000XDermatology PhysicianO-1048ID

General Provider Information

NPI Number : 1851658355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER LAYHER D.O.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2012
Last Update Date : 02/13/2023

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Directions to “ DR. HEATHER LAYHER D.O.” Practice Location

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