Individual
DR. RUSSELL WARREN EYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
486 W 800 N, STE 201, OREM, UT 84057-3728
(801) 431-0300
(801) 431-0312
Mailing address
486 W 800 N, STE 201, OREM, UT 84057-3728
(801) 431-0300
(801) 431-0312
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
174191-1205
UT
207ND0900X
Dermatopathology Physician
Primary
174191-1205
UT
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
174191-1205
UT
207NS0135X
Procedural Dermatology Physician
174191-1205
UT
Other
Enumeration date
06/09/2005
Last updated
09/11/2025
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