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Dermatology Center Of Salt Lake Inc.
Specialist in Midvale, Utah
NPI 1689635799

Dermatology Center Of Salt Lake Inc. is a Specialist based in Midvale, UT. Dermatology Center Of Salt Lake Inc. practices in Midvale, UT. The NPI Number for Dermatology Center Of Salt Lake Inc. is 1689635799 and holds a License No. 266561-1205 (Utah).

The current practice location address for Dermatology Center Of Salt Lake Inc. is 7396 Union Park Ave, Midvale, UT and can be reached out via phone at 801-567-1400 and via fax at 801-567-1777.

Location: 7396 Union Park Ave, Midvale, UT, 84047-6700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689635799
Provider Name
Dermatology Center Of Salt Lake Inc.
Credential
Provider Entity Type
Organization
Address
7396 Union Park Ave, Midvale, UT, 84047-6700
Phone Number
801-567-1400
Fax Number
801-567-1777
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
QM0000046926 01 UT ALTIUS
528986681031 05 UT
52898668108001 01 UT BLUE SHIELD
107007222102 01 IHC
institution
Provider Business Practice Location Address Details
Address
7396 Union Park Ave
City
Midvale
State
Utah
Zip
84047-6700
Phone Number
801-567-1400
Fax Number
801-567-1777
person
Provider Business Mailing Address Details
Address
7396 Union Park Ave
City
Midvale
State
Utah
Zip
84047-6700
Phone Number
801-567-1400
Fax Number
801-567-1777
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
266561-1205 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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