Organization
EYRE DERMATOLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL WARREN EYRE M.D. (PRESIDENT)
(801) 431-0300
Entity
Organization
Contact information
Practice address
486 W 800 N, SUITE 201, OREM, UT 84057-3728
(801) 431-0300
(801) 431-0312
Mailing address
486 W 800 N, SUITE 201, OREM, UT 84057-3728
(801) 431-0300
(801) 431-0312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1088470-0144
UT
Other
Enumeration date
07/13/2005
Last updated
08/22/2020
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