Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEGACY DERMATOLOGY
Active OrganizationLEGACY DERMATOLOGY is a Medical Specialty Clinic organization located in BOUNTIFUL, Utah. NPI 1376944942 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · BOUNTIFUL, UT
Registration Details
- NPI Number
- 1376944942
- Provider Type
- Organization
- NPI Issued
- Sep 14, 2014 (11.949099795588 yrs)
- Last Updated
- Sep 14, 2014
- License
-
9017921-1204 (UT)
Practice Information
- Address
-
320 W 500 SSUITE 210BOUNTIFUL, UT, 840107218Browse UT providers · Browse ZIP 84010
- Phone
- 3853120650
- Fax
- 3857433333
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.