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Cory Maughan, D.O. — NPI 1598086720, Providence, UT | NPI Central

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NPI 1598086720

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Cory Maughan, D.O.

NPI 1598086720 · MOHS-Micrographic Surgery Physician · Providence, UT

Provider details

NPI number: 1598086720
Entity type: Individual
Primary specialty: MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: D.O.
Sex: Male
Sole proprietor: No
License: PG151474 (OR)

Specialties & taxonomies

MOHS-Micrographic Surgery PhysicianPrimary207ND0101XLicense 9869105-1204 (UT)
Allopathic & Osteopathic Physicians
General Practice Physician208D00000XLicense PG151474 (OR)
Allopathic & Osteopathic Physicians
Dermatology Physician207N00000XLicense DO155462 (OR)
Allopathic & Osteopathic Physicians

Practice location

169 N Gateway Dr Ste 100

Providence, UT 84332

Phone: (541) 999-4475

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

7300 Ranch Road 2222, Bldg 1, Ste 200

Austin, TX 78730-3255

Additional practice locations (1)

5600 Eubank Blvd Ne Ste 110
Albuquerque, NM 87111-1519
Phone: (505) 292-5850

Registry dates

Enumerated: 2010-06-22
Last updated: 2023-02-16
Certified: 2022-09-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.