Premier Family Medical - Dermatology

NPI #1972952828 in American Fork, Utah

Provider Information

NPI Number
1972952828
Entity Type
Organization
Organization Name
Premier Family Medical - Dermatology
Subpart
Yes (part of a larger organization)
Parent Organization
PREMIER FAMILY MEDICAL LLC
Primary Specialty
Dermatology
Enumeration Date
Jun 10, 2016
Last Updated
Mar 22, 2024

Practice Location

Address
1112 E 300 N STE 301
State
Utah
ZIP Code
84003-4522
Phone
(801) 642-2950

Authorized Official

Name
HEATHER GUYMON
Title
CREDENTIALING SPECIALIST
Phone
(801) 769-2571

Specialties & Taxonomy Codes

Specialty
Dermatology

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