| NPI | 1992777601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY OSMOND President 435-429-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 164723) |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0900X Dermatology Dermatopathology | |
| 207ZD0900X Pathology Dermatopathology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2025-07-15 |