Dermatology provider in Salt Lake City, UT. Enrolled with CMS since 2016. License 11620001-1205 (UT). NPI: 1972952695.
30 N 1900 E # 4A330
Salt Lake City, UT 84132
(801) 581-6465
This profile is sourced from the public CMS NPI Registry. We display only fields that the registry publishes. Insurance participation, languages spoken, hours, telehealth availability, and ratings are not part of NPI data and are not shown here. Confirm those details directly with the provider's office.