Organization
ALPINE DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL LEE DANIELLE EBERTING M.D. (OWNER)
(801) 763-7107
Entity
Organization
Contact information
Practice address
144 S MAIN ST, SUITE 100, ALPINE, UT 84004-1666
(801) 763-7107
(801) 763-7106
Mailing address
144 S MAIN ST, SUITE 100, ALPINE, UT 84004-1666
(801) 763-7107
(801) 763-7106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
62699311205
UT
Other
Enumeration date
02/16/2007
Last updated
09/03/2009
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