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

TaxonomyCodeLicense
Pediatric Dermatology Physician Primary 207NP0225X13183449-1205 (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.