Aspen Dermatopathology

NPI #1689943300 in Springville, Utah

Provider Information

NPI Number
1689943300
Entity Type
Organization
Organization Name
Aspen Dermatopathology
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Dec 27, 2011
Last Updated
Aug 14, 2012

Practice Location

Address
732 N MAIN ST
State
Utah
ZIP Code
84663-1034
Phone
(801) 210-8989

Authorized Official

Name
WARREN PETERSON, DO
Title
PHYSICIAN
Phone
(801) 210-8989

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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