Dr. Willard Z Maughan
Procedural Dermatology
6028 S Ridgeline Dr #200
South Ogden
, Utah 84405-6914
Dr. Willard Z Maughan
Procedural Dermatology
6028 S Ridgeline Dr #200
South Ogden
, Utah 84405-6914
(801) 475-5209
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Willard Z Maughan
- 6028 S Ridgeline Dr Ste 200
- South Ogden, UT
- Zip : 84405-6906
- Fax : (801) 475-5209
- Phone : (801) 475-5210
Second Address
- Dr. Willard Z Maughan
- 6028 S Ridgeline Dr #200
- South Ogden, UT
- Zip : 84405-6914
- Fax : (801) 475-5209
- Phone : (801) 475-5210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 1614591205 | UT |
National Provider Identifier
| NPI | 1235125063 |
|---|---|
| Provider Name | Dr. Willard Z Maughan |
| First Address | South Ogden, UT 84405-6906 |
| Second Address | South Ogden, UT 84405-6914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 11/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C63921 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.