Organization
U-U PEDIATRIC DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA CALLIS DUFFIN MD (CHIEF CLINICAL OFFICER)
(801) 587-6336
Entity
Organization
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 587-6340
(801) 587-6346
Mailing address
PO BOX 841052, LOS ANGELES, CA 90084-1450
(801) 587-6340
(801) 587-6346
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
2752851205
UT
Other
Enumeration date
07/19/2007
Last updated
03/04/2025
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