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Contact Information

INTERMOUNTAIN SKIN CANCER & ESTHETICS CENTER PC
3860 JACKSON AVE STE 2
OGDEN, UT84403-1997
 Phone: 801-627-0515
 Fax: 801-627-0517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN SKIN CANCER & ESTHETICS CENTER PC

NPI # 1487687430
LBN Legal business name INTERMOUNTAIN SKIN CANCER & ESTHETICS CENTER PC
Authorized official DAVID ALLEN - (MEDICAL DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 01/07/2016 - About 10 years ago
Identifiers
UT License # 159426-1205
UT License # 323171-1206
UT License # 5316026-1205
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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