IndividualActive
Paul Deramo, M.D.
NPI 1346545837 · Plastic Surgery Physician · Provo, UT
Provider details
- NPI number
- 1346545837
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12054791-1205 (UT)
Practice location
3550 N University Ave Ste 250
Provo, UT 84604-6695
Phone: (801) 374-9625
Fax: (801) 374-9690
Mailing address
3550 N University Ave Ste 250
Provo, UT 84604-6695
Registry dates
- Enumerated
- 2011-01-14
- Last updated
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.