Dermatology
DERM HAVEN INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164164141 · enumerated 2022-04-11 · record updated 2022-05-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TINA MOUSSALLY PA-C, Owner · (435) 695-8585
Addresses and phones
- Practice location 352 E RIVERSIDE DR STE A3, ST GEORGE, UT, 84790-6759 (435) 695-8585 Fax (435) 900-1015 Google Maps Apple Maps OpenStreetMap
- Mailing address 782 S RIVER RD STE 101, ST GEORGE, UT, 84790-5716 (435) 695-8585 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
ST GEORGE, UT, 847906759
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.