Providence Dermatology LLC
Providence Dermatology LLC is a Dermatology Physician in Providence, Utah. Works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
169 N Gateway Dr Ste 100Providence, UT 84332-9860
Phone: (541) 999-4475
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 950 Medical Dr Ste 311, Brigham City, UT 84302-4724 — (435) 554-1182
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
Record details
| NPI number | 1568029957 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Travis James — Owner/Physician · (435) 554-1182 |
| Other names | Providence Dermatology |
| NPI enumerated | May 22, 2019 |
| Last updated in NPPES | June 16, 2025 |
| Certification date | June 16, 2025 |
| Mailing address | 169 N Gateway Dr Ste 100, Providence, UT 84332-9860 |
Other providers in Providence
-
At Home Dermatology PLLC
311 E 300 S, Providence, UT 84332-9464 · (435) 770-5119
-
Dr. Travis James, DO
169 N Gateway Dr Ste 100, Providence, UT 84332-9860 · (435) 554-1182
-
LP Derm LLC
517 W 100 N Ste 103, Providence, UT 84332-9824 · (435) 554-8442