Organization
SUMMIT MOHS DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID COWART MD (OWNER)
(801) 980-2546
Entity
Organization
Contact information
Practice address
5089 WEST 11800 SOUTH, SUITE 202, HERRIMAN, UT 84096
(801) 980-2546
Mailing address
1500 W 4800 S, TAYLORSVILLE, UT 84123-4210
(801) 980-2546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
09/26/2025
Last updated
02/26/2026
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