Organization
BAHR DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKS A BAHR MD (OWNER)
(801) 298-1514
Entity
Organization
Contact information
Practice address
25 W 500 S, BOUNTIFUL, UT 84010-7126
(801) 298-1514
(801) 298-1841
Mailing address
25 W 500 S, BOUNTIFUL, UT 84010-7126
(801) 298-1514
(801) 298-1841
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
3735441205
UT
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
05/08/2015
Last updated
12/14/2021
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