MEDICARE: MARGARET HAMMOND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	12165067-1205	UT

General Provider Information

NPI Number	:	1770015018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET HAMMOND

Provider Business Mailing Address
First Line	:	395 W COUGAR BLVD STE 604
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-3331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 W COUGAR BLVD STE 604
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-3331
Country	:	US
Telephone Number	:	801-357-0613
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	08/02/2021

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Directions to “ MARGARET HAMMOND ” Practice Location

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