Organization
WASATCH DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY S STOREY (MEDICAL OFFICE MANAGER)
(801) 475-5210
Entity
Organization
Contact information
Practice address
5734 S 1475 E STE 300, OGDEN, UT 84403-4698
(801) 475-5210
(801) 475-5209
Mailing address
5734 S 1475 E, OGDEN, UT 84403-4698
(801) 475-5210
(801) 475-5209
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53377011205
UT
Other
Enumeration date
06/15/2015
Last updated
01/10/2025
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