At Home Dermatology Pllc
NPI #1821864844 in Providence, Utah
Provider Information
- NPI Number
- 1821864844
- Entity Type
- Organization
- Organization Name
- At Home Dermatology Pllc
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 30, 2023
- Last Updated
- Dec 23, 2023
Practice Location
- Address
- 311 E 300 S
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9464
- Phone
- (435) 770-5119
Authorized Official
- Name
- JEFFREY CALL BAUGH, PA-C
- Title
- OWNER
- Phone
- (435) 770-5119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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