IndividualActive
Grace Brummer, MD
NPI 1902394463 · Dermatology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1902394463
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 11421556-1205 (UT)
Practice location
30 N 1900 E Rm 4a330
Salt Lake City, UT 84132-0002
Phone: (801) 581-5509
Mailing address
30 N 1900 E Rm 4a330
Salt Lake City, UT 84132-0002
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2019-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.