Douglas Grossman in Salt Lake City - Procedural Dermatology
Douglas Grossman - NPI 1124040704
Douglas Grossman is a Procedural Dermatology in Salt Lake City, Utah. Douglas Grossman practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Douglas Grossman is 1124040704. The last update date is 2021-11-02.
Douglas Grossman's current location address is Po Box 3208, Salt Lake City, Utah. You can contact this provider via phone number 8015876340 and fax number 8015876346. The mailing address for Douglas Grossman is Po Box 3208, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Grossman |
|---|---|
| Address | Po Box 3208, Salt Lake City, Utah |
| Phone Number | 8015876340 |
| Fax Number | 8015876346 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124040704 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | Po Box 3208 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841103208 |
| Phone Number | 8015876340 |
| Fax Number | 8015876346 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 48332401205 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870468377001 | UT | -- | |
| 806331900 | ID | -- | |
| 100501967 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Grossman by the Centers for Medicare & Medicaid Services?
The Douglas Grossman has been assigned the NPI (National Provider Identifier) 1124040704. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Douglas Grossman's facilities are geographically located?
The facilities of Douglas Grossman are physically situated at the following location: Po Box 3208, Salt Lake City, UT, 841103208.
What is Douglas Grossman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas Grossman's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Douglas Grossman receive the assignment of its 1124040704 from the Centers for Medicare & Medicaid Services?
The Douglas Grossman was issued its 1124040704 by the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date was the information regarding Douglas Grossman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Douglas Grossman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-02.