West Valley Dermatology

NPI 1548680184 - Dermatology - 207N00000X

NPI Details
NPI 1548680184
Enumeration Date 04/22/2014
Last Updated 04/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JESSE DAVID JESSE
Position DERMATOLOGIST
Phone (801) 966-1403
Fax (801) 964-6478
Practice Location
3465 S PIONEER PKWY
SUITE 1
SALT LAKE CITY UT, 84120-2076, US
Phone (801) 966-1403
Fax (801) 964-6478
Business Location
3465 S PIONEER PKWY
SUITE 1
SALT LAKE CITY UT, 84120-2076, US
Phone (801) 966-1403
Fax (801) 964-6478
Toxanomy
Taxonomy Code 207N00000X
License State Utah
License Number 8963761-1204
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According to our database, West Valley Dermatology NPI is 1548680184, taxonomy code is 207N00000X and license number is 8963761-1204, license state is located at Utah. West Valley Dermatology physically located at 3465 S Pioneer Pkwy, Salt Lake City UT, 84120-2076. NPI Number 1033115704 has the healthcare provider type.

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1548680184 NPI number is provided on an as is basis without warranty of any kind. 1548680184 is maintained by the National Plan & Provider Enumeration System. The contents of West Valley Dermatology are for informational purposes only.