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1407917107
ASPEN DERMATOLOGY PLLC
SPANISH FORK, UT
NPI
1407917107
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Entity Type
Organization
Authorized Contact
WARREN A PETERSON
Owner
801-794-1490
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 179077-1204)
Enumeration Date
2006-12-13
Last Update Date
2020-08-22
Business Address
ASPEN DERMATOLOGY PLLC
114 E 800 N
SPANISH FORK, UT 84660-1209
Phone number: 801-794-1490
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Mailing Address
ASPEN DERMATOLOGY PLLC
114 E 800 N
SPANISH FORK, UT 84660-1209
Phone number: 801-794-1490
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