Graduated: 2004
NPI: 1215019534
Practice Locations (2)
ADA WEST DERMATOLOGY, P.C.
3100 E BARBER VALLEY DR
BOISE, ID 837164735
2088843376
ADA WEST DERMATOLOGY, P.C.
1618 S MILLENIUM WAY, SUITE 100
MERIDIAN, ID 836426457
2088843376
Source: CMS National Downloadable File, September 2026.