Organization
JORDAN VALLEY DERMATOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY R BROWN MD (OWNER)
(801) 569-1456
Entity
Organization
Contact information
Practice address
3570 W 9000 S, WEST JORDAN, UT 84088-8869
(801) 569-1456
(801) 565-7931
Mailing address
3570 W 9000 S, WEST JORDAN, UT 84088-8869
(801) 569-1456
(801) 565-7931
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1756931205
UT
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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