Fife Dermatology Utah
Fife Dermatology Utah is a Dermatology Physician in St George, Utah. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1490 E Foremaster Dr Ste 260St George, UT 84790-4488
Phone: (435) 673-5373
Fax: (702) 673-5041
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
Record details
| NPI number | 1053823120 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Fife Dermatology, PC |
| Authorized official | Douglas Fife — President/Ceo · (702) 255-6647 |
| Other names | Vivida Dermatology |
| NPI enumerated | October 30, 2017 |
| Last updated in NPPES | May 9, 2018 |
| Mailing address | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 |
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Greg Robert Jacobsen, MD
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Red Ledges Dermatology PLLC
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-
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