Anova Dermatology Pc

NPI 1154641272 - Dermatology - 207N00000X

NPI Details
NPI 1154641272
Enumeration Date 06/11/2010
Last Updated 08/30/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHN JOHN
Position MD
Phone (801) 295-3095
Fax
Practice Location
425 MEDICAL DR. STE 220
BOUNTIFUL UT, 84010, US
Phone (801) 295-3095
Fax
Business Location
425 MEDICAL DR. STE 220
BOUNTIFUL UT, 84010, US
Phone (801) 295-3095
Fax
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Anova Dermatology Pc NPI is 1154641272, taxonomy code is 207N00000X Anova Dermatology Pc physically located at 425 Medical Dr. Ste 220, Bountiful UT, 84010. NPI Number 1033115704 has the healthcare provider type.

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1154641272 NPI number is provided on an as is basis without warranty of any kind. 1154641272 is maintained by the National Plan & Provider Enumeration System. The contents of Anova Dermatology Pc are for informational purposes only.