NPI 1013915867

Eyre Dermatology Clinic, P.C.

Organisation Specialist Orem, UT

Practice location

Address: 486 W 800 N Suite 201, Orem, UT 84057-3728
Phone: (801) 431-0300
Fax: (801) 431-0312

Authorised official

Name: Russell Warren Eyre
Title: President
Phone: (801) 431-0300

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 1088470-0144 (UT)

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Registry record

NPI: 1013915867
Entity type: Organization
NPI issued: 13 Jul 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.