Alpine Dermatology PC

NPI #1922142546 in Alpine, Utah

Provider Information

NPI Number: 1922142546
Entity Type: Organization
Organization Name: Alpine Dermatology PC
Primary Specialty: Dermatology
Enumeration Date: Feb 16, 2007
Last Updated: Sep 3, 2009

Practice Location

Address: 144 S MAIN ST
Address 2: SUITE 100
City: Alpine
State: Utah
ZIP Code: 84004-1666
Phone: (801) 763-7107

Authorized Official

Name: DR. CHERYL LEE DANIELLE EBERTING, M.D.
Title: OWNER
Phone: (801) 763-7107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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