Central Utah Dermatology

NPI #1245863893 in Richfield, Utah

Provider Information

NPI Number: 1245863893
Entity Type: Organization
Organization Name: Central Utah Dermatology
Primary Specialty: Dermatology
Enumeration Date: Feb 21, 2020
Last Updated: Feb 21, 2020

Practice Location

Address: 861 N MAIN
City: Richfield
State: Utah
ZIP Code: 84701
Phone: (435) 896-4298

Authorized Official

Name: SEALTIEL A TINAJERO, DO
Title: PRESIDENT
Phone: (435) 531-6269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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