Willard Z Maughan M.d. P.c.

NPI #1316026057 in South Ogden, Utah

Provider Information

NPI Number: 1316026057
Entity Type: Organization
Organization Name: Willard Z Maughan M.d. P.c.
Primary Specialty: Dermatology
Enumeration Date: Nov 3, 2006
Last Updated: Dec 16, 2009

Practice Location

Address: 6028 S RIDGELINE DR
Address 2: STE 200
City: South Ogden
State: Utah
ZIP Code: 84405-6914
Phone: (801) 475-5210

Authorized Official

Name: DR. WILLARD Z MAUGHAN, M.D.
Title: PRESIDENT
Phone: (801) 475-5210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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