Draper Dermatology, P.C.

LBN: Draper Dermatology, P.C.
Draper Dermatology, P.C. is an health care organization with primary practice located at 1325 W South Jordan Pkwy Ste 103 , South Jordan UT 84095-9060. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Draper Dermatology, P.C. can be contacted via phone (801) 232-6556, or through Cooksey, Ryan via phone (801) 232-6556.

Contact Information

Primary practice address
1325 W South Jordan Pkwy Ste 103 South Jordan UT 84095-9060
Phone: (801) 232-6556
Fax: (801) 987-8467
Website:
Map and Directions
Authorized official contact:
Name: Cooksey, Ryan
Phone: (801) 232-6556

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 177611-1205 Utah

Profile Details

NPI number 1093224818
LBN Legal business name Draper Dermatology, P.C.
DBA Doing business as
Authorized official Cooksey, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2017
Last updated Feb 8th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093224818 NPPES
Utah MEDICAID 1093224818

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