Legacy Dermatology
Legacy Dermatology is a Medical Specialty Clinic/Center in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2014.
- Licensed in
- UT
- In the registry since
- 2014
Practice location Address checks out
320 W 500 S Ste 210Bountiful, UT 84010-7218
Phone: (385) 312-0650
Fax: (385) 743-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 9017921-1204 (UT) |
|---|
Record details
| NPI number | 1376944942 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jared Heaton — Physician · (435) 770-9247 |
| NPI enumerated | September 14, 2014 |
| Last updated in NPPES | September 14, 2014 |
| Mailing address | 1535 Lakeview Dr, Bountiful, UT 84010-1561 |
Other providers in Bountiful
-
Praventio Health PLLC
450 S 400 E, Bountiful, UT 84010-4938 · (305) 707-7045