IndividualActive
Amy Theos, MD
NPI 1811917735 · Pediatric Dermatology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1811917735
- Entity type
- Individual
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 13183449-1205 (UT)
Practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 581-2955
Mailing address
30 N 1900 E # 4a330
Salt Lake City, UT 84132-0002
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.