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Organization

ASPEN DERMATOPATHOLOGY

Active
Other names
DBA Alpine Dermatopathology
Organization subpart
No

Provider details

NPI number
Authorized official
WARREN PETERSON DO (PHYSICIAN)
(801) 210-8989
Entity
Organization

Contact information

Practice address
732 N MAIN ST, SPRINGVILLE, UT 84663-1034
(801) 210-8989
(801) 723-0126
Mailing address
114 E 800 N, SPANISH FORK, UT 84660-1209
(801) 794-1490
(801) 794-0316

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1770634909
UT

Other

Enumeration date
12/27/2011
Last updated
08/14/2012
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