OrganizationActive
Pilot Butte Dermatology, L.c.
NPI 1871733238 · Specialist · Evanston, WY
Provider details
- NPI number
- 1871733238
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Douglass Forsha, President(801) 569-1456
- License
- 8010A (WY)
Specialties & taxonomies
Other Service Providers
Practice location
196 Arrowhead Dr
Suite 5
Evanston, WY 82930-8752
Phone: (877) 689-0005
Fax: (801) 565-7931
Approximate (ZIP-level) locationGet directions
Mailing address
3570 W 9000 S
West Jordan, UT 84088-8869
Other names (DBA / former)
- Other name
- South Valley Dermatology
Registry dates
- Enumerated
- 2009-02-25
- Last updated
- 2009-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.