| NPI | 1689943300 |
|---|---|
| Doing Business As | DBA ALPINE DERMATOPATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | WARREN PETERSON Physician 801-210-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: UT 1770634909) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2012-08-14 |