Dekker Deacon, M.D., PH.D. Valid NPI

Individual provider · Dermatology Physician · Salt Lake City, UT

NPI

1871024372

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

10957034-1205 (UT)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-03-25

Last updated

2021-12-03