OrganizationActive
At Home Dermatology PLLC
NPI 1821864844 · Dermatology Physician · Providence, UT
Provider details
- NPI number
- 1821864844
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jeffrey Baugh, Owner
Mailing address
311 E 300 S
Providence, UT 84332-9464
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2023-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.