Organization
WEST VALLEY DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHEORGHE PUSTA (CEO)
(512) 628-0465
Entity
Organization
Contact information
Practice address
4133 PIONEER PKWY, SUITE 120, SALT LAKE CITY, UT 84120-2050
(801) 966-1403
(801) 964-6478
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8963761-1204
UT
Other
Enumeration date
04/22/2014
Last updated
10/02/2025
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