At Home Dermatology PLLC
Organization Active NPI Dermatology Physician · Providence, UT
NPI 1821864844 · NPPES record last updated Dec 23, 2023
Key facts
- NPI
- 1821864844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- AT HOME DERMATOLOGY PLLC
- Practice address
- 311 E 300 S
Providence, UT 84332-9464 - Phone
- (435) 770-5119
- NPI assigned
- Nov 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Call Baugh, PA-C
- Title
- Owner
- Phone
- (435) 770-5119
Practitioners 1
-
Jeffrey Call Baugh, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
311 E 300 S
Providence, UT 84332-9464
Mailing address
311 E 300 S
Providence, UT 84332-9464
Phone (435) 770-5119
Other names
- @ Home Dermatology
Other providers in Providence, UT
- Angel Home Hospice LLC
- Rachel Archibald
- Maeci Hicken Armstrong
- Andrea Arnell
- Jessica Anna Ash
- Thomas E. Atkin Psy.D.D.
- Michael J Austin
- Back at Work of Utah LLC
- Katie Ball
- Heather Ballingham
All providers in Providence, UT · Dermatology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.