ALPINE DERMATOLOGY PC

ALPINE, UT
NPI1922142546
Entity TypeOrganization
Authorized ContactCHERYL LEE DANIELLE EBERTING
Owner
801-763-7107
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: UT  62699311205)
Enumeration Date2007-02-16
Last Update Date2009-09-03
Business Address
ALPINE DERMATOLOGY PC
144 S MAIN ST SUITE 100
ALPINE, UT 84004-1666
Phone number: 801-763-7107
Mailing Address
ALPINE DERMATOLOGY PC
144 S MAIN ST SUITE 100
ALPINE, UT 84004-1666
Phone number: 801-763-7107
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CHERYL LEE DANIELLE EBERTING