# AMY THEOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811917735
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NP0225X | Pediatric Dermatology Physician | 13183449-1205 | UT | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 01/23/2024