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SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC NPI 1992144364


NPI Information

NPI: 1992144364
Provider Name: SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 46D2033975

Address:
732 N MAIN ST
SPRINGVILLE, UT
ZIP 84663
Phone: (801) 704-7001
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SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC is a dermatopathology dermatology in Springville, UT. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC NPI is 1992144364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

732 N MAIN ST
SPRINGVILLE, UT
ZIP 84663-034
Phone: (801) 704-7001
Fax: (801) 210-7012

The provider's authorized official is Michael Warren Peterson .
The authorized official title is Owner/physician and has the following contact phone number (801) 704-7001.

The CLIA number assigned to this NPI record is 46D2033975 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/19/2013 and was last updated on 11/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathology72474631204UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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