NPI | 1811150550 |
---|---|
Doing Business As | LONE PEAK DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | ROBERT LYNN ORME Owner/Physician 801-572-8043 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: UT 180576-1205) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2008-07-02 |