Organization · Type 2 NPI

The Rose Clinic for Plastic and Migraine Surgery

Specialist · Provo, UT

NPI number 1093990210 Active

Practice location

320 River Park Dr, Suite 245
Provo, UT 84604-6060

Call (801) 375-7673 Map

Fax (801) 375-7679

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5575028-1205 (UT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 other providers at this address

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About NPI 1093990210

The Rose Clinic for Plastic and Migraine Surgery's National Provider Identifier is 1093990210, issued on Jan 7, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Provo, UT. The record was last updated on Jun 13, 2008.