Intermountain Skin Cancer & Esthetics Center Pc

LBN: Intermountain Skin Cancer & Esthetics Center Pc
Intermountain Skin Cancer & Esthetics Center Pc is an health care organization with primary practice located at 3860 Jackson Ave Ste 2 , Ogden UT 84403-1997. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Intermountain Skin Cancer & Esthetics Center Pc can be contacted via phone (801) 627-0515, or through Allen, David Edgar via phone (801) 627-0515.

Contact Information

Primary practice address
3860 Jackson Ave Ste 2 Ogden UT 84403-1997
Phone: (801) 627-0515
Fax: (801) 627-0517
Website:
Map and Directions
Authorized official contact:
Name: Allen, David Edgar Doctor of Medicine (MD)
Phone: (801) 627-0515

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 159426-1205 Utah
Other Service Providers / Specialist 174400000X 5316026-1205 Utah
Other Service Providers / Specialist 174400000X 323171-1206 Utah

Profile Details

NPI number 1487687430
LBN Legal business name Intermountain Skin Cancer & Esthetics Center Pc
DBA Doing business as
Authorized official Allen, David Edgar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Jan 7th, 2016 - about 10 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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