| NPI | 1770779985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY KARTSONE Accounts Manager 435-753-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 3085198-1205) |
| Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: UT 3085198-1205) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: UT 3085198-1208) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: UT 3085198-1205) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-11-08 |