Rocky Mountain Dermatology Inc in North Logan - Clinical & Laboratory Dermatological Immunology

Rocky Mountain Dermatology Inc - NPI 1154527372

Rocky Mountain Dermatology Inc is a Clinical & Laboratory Dermatological Immunology in North Logan, Utah. Rocky Mountain Dermatology Inc practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for Rocky Mountain Dermatology Inc is 1154527372. The last update date is 2022-07-21.

Rocky Mountain Dermatology Inc's current location address is 1760 N 200 E Ste 101, North Logan, Utah. You can contact this provider via phone number 4357870560 and fax number 4357524673. The mailing address for Rocky Mountain Dermatology Inc is 1760 N 200 E Ste 101, North Logan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rocky Mountain Dermatology Inc
Address 1760 N 200 E Ste 101, North Logan, Utah
Phone Number 4357870560
Fax Number 4357524673
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Young P Robert
Credentials M.D.
Telephone Number 4357870560

NPI Number Detail

NPI Number 1154527372
Provider Enumeration Date 2007-06-25
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1760 N 200 E Ste 101
City North Logan
State Utah (UT)
Post Code 843411202
Phone Number 4357870560
Fax Number 4357524673

Provider's Primary Taxonomy Detail

Speciality Clinical & Laboratory Dermatological Immunology
Taxonomy 207Ni0002X
Licence No 295172-1205
Definition:
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and

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FAQs about Rocky Mountain Dermatology Inc

What is the unique provider identifier assigned to Rocky Mountain Dermatology Inc?

The Rocky Mountain Dermatology Inc has been issued the NPI (National Provider Identifier) 1154527372 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Rocky Mountain Dermatology Inc is located?

The Rocky Mountain Dermatology Inc is situated at the following address: 1760 N 200 E Ste 101, North Logan, UT, 843411202.

What is Rocky Mountain Dermatology Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Rocky Mountain Dermatology Inc is Clinical & Laboratory Dermatological Immunology, and the taxonomy code that classifies this field of practice is 207Ni0002X.

On what date did the Rocky Mountain Dermatology Inc receive its 1154527372 assignment from the Centers for Medicare & Medicaid Services?

The Rocky Mountain Dermatology Inc was assigned its 1154527372 by the Centers for Medicare & Medicaid Services on 2007-06-25.

When was the information related to Rocky Mountain Dermatology Inc most recently updated or refreshed?

The details pertaining to the Rocky Mountain Dermatology Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.

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