Premier Plastic Surgery Group Of Utah

LBN: Premier Plastic Surgery Group Of Utah
Premier Plastic Surgery Group Of Utah is an health care organization with primary practice located at 11762 S State St Ste 220 , Draper UT 84020-7156. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Premier Plastic Surgery Group Of Utah can be contacted via phone (801) 571-2020, or through White, Stephanie via phone (801) 571-2020.

Contact Information

Primary practice address
11762 S State St Ste 220 Draper UT 84020-7156
Phone: (801) 571-2020
Fax: (801) 571-6899
Website:
Map and Directions
Authorized official contact:
Name: White, Stephanie
Phone: (801) 571-2020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1689906976
LBN Legal business name Premier Plastic Surgery Group Of Utah
DBA Doing business as
Authorized official White, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2010
Last updated Jan 19th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689906976 NPPES
Utah MEDICAID 528276851028
Utah MEDICAID 529316986001

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