Integrated Dermatology of Bountiful LLC

NPI #1629396841 in Centerville, Utah

Provider Information

NPI Number: 1629396841
Entity Type: Organization
Organization Name: Integrated Dermatology of Bountiful LLC
Primary Specialty: Dermatology
Enumeration Date: May 12, 2010
Last Updated: Jan 15, 2019

Practice Location

Address: 1222 W LEGACY CROSSING BLVD STE 200
City: Centerville
State: Utah
ZIP Code: 84014-5560
Phone: (801) 298-3802

Authorized Official

Name: DR. ADAM S. PLOTKIN
Title: OWNER
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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