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Organization

AT HOME DERMATOLOGY PLLC

Active
Other names
@ Home Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY CALL BAUGH PA-C (OWNER)
(435) 770-5119
Entity
Organization

Contact information

Practice address
311 E 300 S, PROVIDENCE, UT 84332-9464
(435) 770-5119
Mailing address
311 E 300 S, PROVIDENCE, UT 84332-9464
(435) 770-5119

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
11/30/2023
Last updated
12/23/2023
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