DR. Payam Tristani-Firouzi, M.D.

NPI #1407943921 in Provo, Utah

Provider Information

NPI Number: 1407943921
Entity Type: Individual
Name: DR. Payam Tristani-Firouzi, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Oct 6, 2006
Last Updated: Dec 20, 2021

Practice Location

Address: 1055 N 500 W STE 111
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 374-8999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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