| NPI | 1154641272 |
|---|---|
| Doing Business As | ASPEN COSMETIC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOHN PETERSON Md 801-295-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-08-30 |