Provider Type Icon

EYRE DERMATOLOGY CLINIC P.C. NPI 1013915867


NPI Information

NPI: 1013915867
Provider Name: EYRE DERMATOLOGY CLINIC, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 46D0525455

Address:
486 W 800 N
SUITE 201
OREM, UT
ZIP 84057
Phone: (801) 431-0300
Get Directions

EYRE DERMATOLOGY CLINIC, P.C. is a specialist in Orem, UT. The provider is 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. EYRE DERMATOLOGY CLINIC, P.C. NPI is 1013915867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

486 W 800 N
SUITE 201
OREM, UT
ZIP 84057-728
Phone: (801) 431-0300
Fax: (801) 431-0312

The provider's authorized official is Russell Warren Eyre .
The authorized official title is President and has the following contact phone number (801) 431-0300.

The CLIA number assigned to this NPI record is 46D0525455 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist1088470-0144UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.