| NPI | 1831338029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN A PETERSON Doctor/Owner 801-224-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 1790771204) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |