Organization
HEBER VALLEY DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA COLLINS DO (PHYSICIAN OWNER)
(606) 694-2836
Entity
Organization
Contact information
Practice address
322 E GATEWAY DR STE 103, HEBER CITY, UT 84032-4611
(435) 315-3147
(435) 355-3737
Mailing address
322 E GATEWAY DR STE 103, HEBER CITY, UT 84032-4611
(435) 315-3147
(435) 355-3737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
06/09/2021
Last updated
03/07/2022
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