Pure Dermatology Llc

LBN: Pure Dermatology Llc
Pure Dermatology Llc is an health care organization with primary practice located at 466 E 500 S , Salt Lake City UT 84111-3342. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Pure Dermatology Llc can be contacted via phone (801) 475-3090, or through Hedstrom, Lea via phone (801) 475-3090.

Contact Information

Primary practice address
466 E 500 S Salt Lake City UT 84111-3342
Phone: (801) 475-3090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hedstrom, Lea Physician Assistant (PA)
Phone: (801) 475-3090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1902668171
LBN Legal business name Pure Dermatology Llc
DBA Doing business as
Authorized official Hedstrom, Lea Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2024
Last updated Jan 24th, 2024 - about 10 months 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.

Request for update

Popular Providers