Intermountain Skin Cancer & Esthetics Center PC

NPI #1487687430 in Ogden, Utah

Provider Information

NPI Number: 1487687430
Entity Type: Organization
Organization Name: Intermountain Skin Cancer & Esthetics Center PC
Primary Specialty: Specialist
Enumeration Date: Jul 9, 2006
Last Updated: Jan 7, 2016

Practice Location

Address: 3860 JACKSON AVE STE 2
City: Ogden
State: Utah
ZIP Code: 84403-1997
Phone: (801) 627-0515

Authorized Official

Name: DR. DAVID EDGAR ALLEN, M.D.
Title: MEDICAL DOCTOR
Phone: (801) 627-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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