Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Red Ledges Dermatology PLLC

Organization Dermatology Physician · NPI 1417467986

Red Ledges Dermatology PLLC is a Dermatology Physician in St George, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1449 N 1400 W Ste 22
St George, UT 84770-5237
Phone: (435) 703-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 179077-1204 (UT)

Record details

NPI number1417467986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Petererson — Owner · (435) 703-9296
NPI enumeratedOctober 10, 2017
Last updated in NPPESMarch 8, 2018
Mailing address1449 N 1400 W Ste 22, St George, UT 84770-5237

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