Organization
PARK CITY DERMATOLOGY. CO
Active
Parent organization
PARK CITY DERMATOLOGY. CO
Other names
CENTER FOR COSMETIC DERMATOLOGY, Park City Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK CITY DERMATOLOGY. CO
Authorized official
DR. STEVEN MARK KERN MD (PRESIDENT)
(435) 658-1013
Entity
Organization
Contact information
Practice address
1790 SUN PEAK DR STE A103, PARK CITY, UT 84098
(435) 658-1013
(435) 658-3513
Mailing address
1790 SUN PEAK DR STE A103, PARK CITY, UT 84098-6625
(435) 658-1013
(435) 658-3513
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3673151205
UT
Other
Enumeration date
01/08/2007
Last updated
03/07/2023
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