Organization · Type 2 NPI

Intermountain Skin Cancer & Esthetics Center PC

Specialist · Ogden, UT

NPI number 1487687430 Active

Practice location

3860 Jackson Ave Ste 2
Ogden, UT 84403-1997

Call (801) 627-0515 Map

Fax (801) 627-0517

Mailing address

3860 Jackson Ave, Suite 2
Ogden, UT 84403-1956

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X159426-1205 (UT)
Specialist Primary 174400000X5316026-1205 (UT)
Specialist 174400000X323171-1206 (UT)

Specialist: 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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About NPI 1487687430

Intermountain Skin Cancer & Esthetics Center PC's National Provider Identifier is 1487687430, issued on Jul 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ogden, UT. The record was last updated on Jan 7, 2016.