Organization
DRAPER DERMATOLOGY, P.C.
Active
Parent organization
DRAPER DERMATOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRAPER DERMATOLOGY
Authorized official
RYAN COOKSEY (PRACTICE ADMINISTRATOR)
(801) 232-6556
Entity
Organization
Contact information
Practice address
196 ARROWHEAD DR STE 7, EVANSTON, WY 82930-8752
(801) 232-6556
(801) 987-8467
Mailing address
1325 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 84095-9060
(801) 232-6556
(801) 987-8467
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154374100
—
WY
Enumeration date
02/05/2020
Last updated
11/27/2023
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