Organization
PREMIER FAMILY MEDICAL - DERMATOLOGY
Active
Parent organization
PREMIER FAMILY MEDICAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER FAMILY MEDICAL LLC
Authorized official
HEATHER GUYMON (CREDENTIALING SPECIALIST)
(801) 769-2571
Entity
Organization
Contact information
Practice address
1112 E 300 N STE 301, AMERICAN FORK, UT 84003-4522
(801) 642-2950
(801) 642-2951
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 796-1333
(801) 796-0625
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
03/22/2024
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