| NPI | 1770099251 |
|---|---|
| Doing Business As | UTAH VALLEY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2021-01-07 |