Organization
ALLEN-TAINTOR DERMATOLOGY LLC
Active
Other names
Intermountain Skin Cancer & Esthetics Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE W CHRISTENSEN (OFFICE MANAGER)
(801) 627-0515
Entity
Organization
Contact information
Practice address
3860 JACKSON AVE STE 2, OGDEN, UT 84403-1979
(801) 627-0515
(801) 627-0517
Mailing address
3860 JACKSON AVE STE 2, OGDEN, UT 84403-1979
(801) 627-0515
(801) 627-0517
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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