Dermatology Center Of Salt Lake Inc. in Midvale - Specialist
Dermatology Center Of Salt Lake Inc. - NPI 1689635799
Dermatology Center Of Salt Lake Inc. is a Specialist in Midvale, Utah. Dermatology Center Of Salt Lake Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Center Of Salt Lake Inc. is 1689635799. The last update date is 2019-04-15.
Dermatology Center Of Salt Lake Inc.'s current location address is 7396 Union Park Ave, Midvale, Utah. You can contact this provider via phone number 8015671400 and fax number 8015671777. The mailing address for Dermatology Center Of Salt Lake Inc. is 7396 Union Park Ave, Midvale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Center Of Salt Lake Inc. |
|---|---|
| Address | 7396 Union Park Ave, Midvale, Utah |
| Phone Number | 8015671400 |
| Fax Number | 8015671777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD/OWNER |
|---|---|
| Authorized Official Name | Jensen D Joseph |
| Credentials | MD |
| Telephone Number | 8015671400 |
NPI Number Detail
| NPI Number | 1689635799 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2019-04-15 |
Provider Mailing Address Detail
| Address | 7396 Union Park Ave |
|---|---|
| City | Midvale |
| State | Utah (UT) |
| Post Code | 840476700 |
| Phone Number | 8015671400 |
| Fax Number | 8015671777 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 266561-1205 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| QM0000046926 | UT | ALTIUS | |
| 528986681031 | UT | -- | |
| 52898668108001 | UT | BLUE SHIELD | |
| 107007222102 | IHC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dermatology Center Of Salt Lake Inc.?
The Dermatology Center Of Salt Lake Inc. has been issued the NPI (National Provider Identifier) 1689635799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dermatology Center Of Salt Lake Inc.'s facilities are situated?
The facilities of Dermatology Center Of Salt Lake Inc. are physically located at the following address: 7396 Union Park Ave, Midvale, UT, 840476700.
What is Dermatology Center Of Salt Lake Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dermatology Center Of Salt Lake Inc. is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did Dermatology Center Of Salt Lake Inc. receive its 1689635799 assignment?
The Dermatology Center Of Salt Lake Inc. was assigned its 1689635799 on 2006-03-29, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Dermatology Center Of Salt Lake Inc. most recently updated or revised?
The details related to Dermatology Center Of Salt Lake Inc., including its address, specialty, and other relevant information, were last updated or revised on 2019-04-15.