Organization
DERMATOLOGY WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JORDAN MCKINNON PA-C (OWNER)
(801) 866-6753
Entity
Organization
Contact information
Practice address
1741 N 2000 W STE 3, FARR WEST, UT 84404-9811
(801) 917-6177
(801) 917-5688
Mailing address
1741 N 2000 W STE 3, FARR WEST, UT 84404-9811
(801) 917-6177
(801) 917-5688
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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