Individual provider · Type 1 NPI
Amy Theos, MD
Pediatric Dermatology Physician · Salt Lake City, UT
NPI number
1811917735
Active
Practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Mailing address
30 N 1900 E # 4A330
Salt Lake City, UT 84132-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dermatology Physician Primary | 207NP0225X | 13183449-1205 (UT) |
Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
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About NPI 1811917735
Amy Theos, MD's National Provider Identifier is 1811917735, issued on Jul 21, 2006. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 23, 2024.