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Contact Information

WASATCH DERMATOLOGY, PC
5734 S 1475 E STE 300
OGDEN, UT84403-4698
 Phone: 801-475-5210
 Fax: 801-475-5209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for WASATCH DERMATOLOGY, PC

NPI Number 1891176939
LBN Legal business name WASATCH DERMATOLOGY, PC
Authorized official STACY STOREY - (MEDICAL OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2015
Last updated 01/10/2025 - More than a year ago
Identifiers
UT License # 53377011205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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