NPI 1053823120

Fife Dermatology Utah

Organisation Dermatology Physician St.George, UT

Practice location

Address: 1490 E Foremaster Drive Suite 260, St.George, UT 84790-4488
Phone: (435) 673-5373
Fax: (702) 673-5041
Mailing address: 6460 Medical Center St STE 350, Las Vegas, NV 89148-2423

Authorised official

Name: Douglas F Fife
Title: President/Ceo
Phone: (702) 255-6647

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Utah →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1053823120
Entity type: Organization
NPI issued: 30 Oct 2017
Record last updated: 9 May 2018

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.