Vivida Dermatology
LBN: Fife Dermatology Utah
Vivida Dermatology is an health care organization with primary practice located at 1490 E Foremaster Drive Suite 260, St.George UT 84790-4488. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Fife Dermatology Utah can be contacted via phone (435) 673-5373, or through Fife, Douglas F via phone (702) 255-6647.
Contact Information
Primary practice address
1490 E Foremaster Drive Suite 260
St.George UT 84790-4488
Phone: (435) 673-5373
Fax: (702) 673-5041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1053823120 |
|---|---|
| LBN Legal business name | Fife Dermatology Utah |
| DBA Doing business as | Vivida Dermatology |
| Authorized official | Fife, Douglas F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 30th, 2017 |
| Last updated | May 9th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053823120 | NPPES |
| Nevada | Other | CM808 | MEDICARE |
| Nevada | Other | 270773333 | MEDICARE |
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