Dermatology Center of Salt Lake Inc.

NPI #1689635799 in Midvale, Utah

Provider Information

NPI Number: 1689635799
Entity Type: Organization
Organization Name: Dermatology Center of Salt Lake Inc.
Primary Specialty: Specialist
Enumeration Date: Mar 29, 2006
Last Updated: Apr 15, 2019

Practice Location

Address: 7396 UNION PARK AVE
Address 2: #201
City: Midvale
State: Utah
ZIP Code: 84047-6700
Phone: (801) 567-1400

Authorized Official

Name: JOSEPH D JENSEN, MD
Title: MD/OWNER
Phone: (801) 567-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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