| NPI | 1235339193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA CALLIS DUFFIN Chief Clinical Officer 801-587-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: UT 2752851205) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2023-05-26 |