NPI 1043874332

Waymore Shade LLC

Organisation Dermatology Physician Springville, UT

Practice location

Address: 451 S Main St STE 1, Springville, UT 84663-2293
Phone: (801) 805-4744

Authorised official

Name: Isaac Bryan
Title: Dermatologist
Phone: (801) 805-4744

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Utah →

Registry record

NPI: 1043874332
Entity type: Organization
NPI issued: 23 Apr 2019
Record last updated: 23 Apr 2019

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.