INTERMOUNTAIN SKIN CANCER & ESTHETICS CENTER PC
NPI 1487687430
Specialist in Ogden, UT

Q: What is Intermountain Skin Cancer & Esthetics Center PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 09, 2006

3860 JACKSON AVE STE 2, OGDEN, UT 84403(801) 627-0515(801) 627-0517 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Intermountain Skin Cancer & Esthetics Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMOUNTAIN SKIN CANCER & ESTHETICS CENTER PC (NPI 1487687430) is a healthcare organization registered as a specialist in Ogden, Utah and active in the NPI registry since July 2006. The organization lists David Edgar Allen, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1487687430

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameINTERMOUNTAIN SKIN CANCER & ESTHETICS CENTER PC

Location Address3860 JACKSON AVE STE 2Ogden, UT 84403-1997

Mailing Address3860 Jackson Ave, Suite 2Ogden, UT 84403-1956 · (801) 627-0515 · Fax (801) 627-0517

Phone(801) 627-0515

Fax(801) 627-0517

Organization SubpartNo

Authorized OfficialDavid Edgar AllenMedical Doctor · (801) 627-0515

Enumeration DateJuly 9, 2006

Last NPPES UpdateJanuary 7, 2016

✔ NPI 1487687430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in UT · 5316026-1205✔ Licensed in UT · 159426-1205✔ Licensed in UT · 323171-1206

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3860 JACKSON AVE STE 2, Ogden, UT 84403

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Other Identifiers 6

Medicare ID-Type Unspecified000005364UT

Medicare UPIND20153UT

Medicare ID-Type Unspecified005731501UT

Medicare ID-Type Unspecified000012067UT

Medicare UPINR65216UT

Medicare UPINH87350UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENNON FLANNERY PA-C

Physician Assistant