Waymore Shade LLC

NPI #1043874332 in Springville, Utah

Provider Information

NPI Number: 1043874332
Entity Type: Organization
Organization Name: Waymore Shade LLC
Primary Specialty: Dermatology
Enumeration Date: Apr 23, 2019
Last Updated: Apr 23, 2019

Practice Location

Address: 451 S MAIN ST STE 1
City: Springville
State: Utah
ZIP Code: 84663-2293
Phone: (801) 805-4744

Authorized Official

Name: ISAAC BRYAN, DO
Title: DERMATOLOGIST
Phone: (801) 805-4744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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