Individual
PAUL E. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10011 CENTENNIAL PKWY, STE 200, SANDY, UT 84070-4156
(801) 255-7546
(801) 233-3444
Mailing address
10011 CENTENNIAL PKWY, STE 200, SANDY, UT 84070-4156
(801) 255-7546
(801) 233-3444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
3477061205
UT
207ND0101X
MOHS-Micrographic Surgery Physician
3477061205
UT
207NS0135X
Procedural Dermatology Physician
Primary
3477061205
UT
Other
Enumeration date
05/23/2007
Last updated
11/10/2007
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