| NPI | 1538875786 |
|---|---|
| Doing Business As | LONE PINE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CORY B MAUGHAN Owner 435-554-8442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |