| NPI | 1114164365 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL ARTS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CARTER Owner 435-628-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2022-02-01 |