NPI 1487687430

Intermountain Skin Cancer & Esthetics Center PC

Organisation Specialist Ogden, UT

Practice location

Address: 3860 Jackson Ave STE 2, Ogden, UT 84403-1997
Phone: (801) 627-0515
Fax: (801) 627-0517
Mailing address: 3860 Jackson Ave Suite 2, Ogden, UT 84403-1956

Authorised official

Name: David Edgar Allen
Title: Medical Doctor
Phone: (801) 627-0515

Registered specialties (3)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 5316026-1205 (UT)

Other Specialist providers in Utah →

Specialist

Other Service Providers Taxonomy 174400000X Licence 159426-1205 (UT)

Specialist

Other Service Providers Taxonomy 174400000X Licence 323171-1206 (UT)

Registry record

NPI: 1487687430
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 7 Jan 2016

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.