Sage Dermatology And Mohs Surgery, Llc
LBN: Sage Dermatology And Mohs Surgery, Llc
Sage Dermatology And Mohs Surgery, Llc is an health care organization with primary practice located at 11760 S 700 E Ste 112 , Draper UT 84020-6605. 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.
Sage Dermatology And Mohs Surgery, Llc can be contacted via phone (216) 280-1875, or through Brimhall, Angela via phone (216) 280-1875.
Contact Information
Primary practice address
11760 S 700 E Ste 112
Draper UT 84020-6605
Phone: (216) 280-1875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1841065463 |
|---|---|
| LBN Legal business name | Sage Dermatology And Mohs Surgery, Llc |
| DBA Doing business as | |
| Authorized official | Brimhall, Angela Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 24th, 2023 |
| Last updated | Dec 15th, 2023 - about last year |
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 | 1841065463 | NPPES |
| Utah | MEDICAID | 3011678 |
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