Cbm Derm Llc, NPI 1568029957
MOHS-Micrographic Surgery Physician in Providence, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1568029957
NPI Entity Type Organization
Provider Name Cbm Derm Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 169 N Gateway Dr Ste 100, Providence, UT, US
Provider Mailing Address 540 S 800 E, River Heights, UT, US, 843215600
Is Sole Proprietor? No
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Organization Official

Official Name DO Cory B Maughan
Official Position OWNER/PROVIDER
Phone 541-999-4475

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207ND0101X

Taxonomy Name MOHS-Micrographic Surgery Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

Description The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Other Organization Name

Providence Dermatology
Doing Business As

Business Address

Cbm Derm Llc
169 N Gateway Dr Ste 100

Providence, UT, US

Phone: 541-999-4475

Mailing Address

Cbm Derm Llc
540 S 800 E
River Heights, UT, US
ZIP 843215600

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

No

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NPI Name Taxonomy Address

1902227101

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Empower You Therapy

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Damaris Villalobos

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Dylan Smart

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8031 S 700 E

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Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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