| NPI | 1902041668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAND LEE COLBERT Managing Member 435-586-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 6496037-1205) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |