Intermountain Skin Cancer & Esthetics Center Pc in Ogden - Specialist

Intermountain Skin Cancer & Esthetics Center Pc - NPI 1487687430

Intermountain Skin Cancer & Esthetics Center Pc is a Specialist in Ogden, Utah. Intermountain Skin Cancer & Esthetics Center Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Intermountain Skin Cancer & Esthetics Center Pc is 1487687430. The last update date is 2016-01-07.

Intermountain Skin Cancer & Esthetics Center Pc's current location address is 3860 Jackson Ave, Ogden, Utah. You can contact this provider via phone number 8016270515 and fax number 8016270517. The mailing address for Intermountain Skin Cancer & Esthetics Center Pc is 3860 Jackson Ave, Ogden, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Intermountain Skin Cancer & Esthetics Center Pc
Address 3860 Jackson Ave, Ogden, Utah
Phone Number 8016270515
Fax Number 8016270517
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Allen Edgar David
Credentials M.D.
Telephone Number 8016270515

NPI Number Detail

NPI Number 1487687430
Provider Enumeration Date 2006-07-09
Last Updated Date 2016-01-07

Provider Mailing Address Detail

Address 3860 Jackson Ave
City Ogden
State Utah (UT)
Post Code 844031956
Phone Number 8016270515
Fax Number 8016270517

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 159426-1205
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.

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FAQs about Intermountain Skin Cancer & Esthetics Center Pc

What is the unique 10-digit identifier code issued to Intermountain Skin Cancer & Esthetics Center Pc by the Centers for Medicare & Medicaid Services?

The Intermountain Skin Cancer & Esthetics Center Pc has been assigned the NPI (National Provider Identifier) 1487687430 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Intermountain Skin Cancer & Esthetics Center Pc?

The Intermountain Skin Cancer & Esthetics Center Pc is physically situated at 3860 Jackson Ave, in the city of Ogden, state of UT, with the postal code 844031956.

What is the area of specialization for Intermountain Skin Cancer & Esthetics Center Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Intermountain Skin Cancer & Esthetics Center Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

When did Intermountain Skin Cancer & Esthetics Center Pc receive its 1487687430 assignment?

The Intermountain Skin Cancer & Esthetics Center Pc was assigned its 1487687430 on 2006-07-09, which is the date when this unique identifier was issued to the organization.

When was the information related to Intermountain Skin Cancer & Esthetics Center Pc most recently updated or refreshed?

The details pertaining to the Intermountain Skin Cancer & Esthetics Center Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-07.

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