| NPI | 1871733238 |
|---|---|
| Other Name | SOUTH VALLEY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DOUGLASS W. FORSHA President 801-569-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WY 8010A) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-03-25 |