OrganizationActive
Red Ledges Dermatology PLLC
NPI 1417467986 · Dermatology Physician · St George, UT
Provider details
- NPI number
- 1417467986
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Warren Petererson, Owner(435) 703-9296
- License
- 179077-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1449 N 1400 W Ste 22
St George, UT 84770-5237
Phone: (435) 703-9296
Street-level locationGet directions
Mailing address
1449 N 1400 W Ste 22
St George, UT 84770-5237
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2018-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.