| NPI | 1316207749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W PARKINSON Owner 801-225-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: UT 158613-1205) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |