OrganizationActive
Aspen Dermatology PLLC
NPI 1407917107 · Dermatology Physician · Spanish Fork, UT
Provider details
- NPI number
- 1407917107
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Warren Peterson, Owner(801) 794-1490
- License
- 179077-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
114 E 800 N
Spanish Fork, UT 84660-1209
Phone: (801) 794-1490
Fax: (801) 794-1495
Approximate (ZIP-level) locationGet directions
Mailing address
114 E 800 N
Spanish Fork, UT 84660-1209
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.