Organization
ROCKY MOUNTAIN DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P YOUNG M.D. (OWNER)
(435) 787-0560
Entity
Organization
Contact information
Practice address
1760 N 200 E STE 101, NORTH LOGAN, UT 84341
(435) 787-0560
(435) 752-4673
Mailing address
1760 N 200 E STE 101, NORTH LOGAN, UT 84341-1202
(435) 787-0560
(435) 752-4673
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
295172-1205
UT
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
295172-1205
UT
207NP0225X
Pediatric Dermatology Physician
295172-1205
UT
207NS0135X
Procedural Dermatology Physician
295172-1205
UT
Other
Enumeration date
06/25/2007
Last updated
07/21/2022
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