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

West Valley Dermatology

Organization Dermatology Physician · NPI 1548680184

West Valley Dermatology is a Dermatology Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014

Practice location Address checks out

4133 Pioneer Pkwy Ste 120
Salt Lake City, UT 84120-2050
Phone: (801) 966-1403
Fax: (801) 964-6478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 8963761-1204 (UT)

Record details

NPI number1548680184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Ceo · (512) 628-0465
NPI enumeratedApril 22, 2014
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

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