| NPI | 1639652308 |
|---|---|
| Doing Business As | DERMATOLOGY AFFILIATES |
| Entity Type | Organization |
| Authorized Contact | MOLLIE S WILSON Office Administrator 801-272-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 81643911206) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2026-07-01 |