Parkinson Dermatology | |
5314 N 250 W Ste 220 Provo UT 84604-7746 | |
(801) 225-8484 | |
(801) 225-6170 |
Full Name | Parkinson Dermatology |
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Speciality | Clinic/center |
Location | 5314 N 250 W Ste 220, Provo, Utah |
Authorized Official Name and Position | Richard Parkinson (OWNER) |
Authorized Official Contact | 8012248484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Parkinson Dermatology 5314 North 250 West, Ste 220 Provo UT 84604 Ph: (801) 225-8484 | Parkinson Dermatology 5314 N 250 W Ste 220 Provo UT 84604-7746 Ph: (801) 225-8484 |
NPI Number | 1245648468 |
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Provider Enumeration Date | 07/31/2014 |
Last Update Date | 07/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245648468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 62460808900 (Utah) | Primary |
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