Aspen Dermatopathology
Organization Active NPI Clinical Medical Laboratory · Springville, UT
NPI 1689943300 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1689943300
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 1770634909 (UT)
- Legal business name
- ASPEN DERMATOPATHOLOGY
- Practice address
- 732 N Main St
Springville, UT 84663-1034 - Phone
- (801) 210-8989
- Fax
- (801) 723-0126
- NPI assigned
- Dec 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Warren Peterson, DO
- Title
- Physician
- Phone
- (801) 210-8989
Practitioners 2
-
Michael Warren Peterson, D.O.
-
Warren Albert Peterson, D.O.
National Provider Directory
Locations
732 N Main St
Springville, UT 84663
Phone (801) 704-7001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1770634909 | UT | Yes |
Addresses
Primary practice location
732 N Main St
Springville, UT 84663-1034
Mailing address
114 E 800 N
Spanish Fork, UT 84660-1209
Phone (801) 794-1490
Other names
- DBA Alpine Dermatopathology
Other providers in Springville, UT
- Ascent Individual Residential Treatment, Inc
- Ascent Opco LLC
- Ascent, Inc.
- Emilie Birgitta Ashby
- Clara Ashton
- Balanced Bodyworks LLC
- Hannah Lindsey Banks
- Heidi Jean Bardsley
- Myriam L Bardsley
- Virginia Diane Bardsley
All providers in Springville, UT · Clinical Medical Laboratory in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.