| NPI | 1598261869 |
|---|---|
| Doing Business As | DERMATOLOGY CLINIC OF SOUTHERN UTAH |
| Entity Type | Organization |
| Authorized Contact | MARIE SPENCER TUTTLE President 435-218-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 8347280-1205) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |