Organization · Type 2 NPI

Premier Plastic Surgery Group of Utah

Plastic and Reconstructive Surgery Physician · Draper, UT

NPI number 1689906976 Active

Practice location

11762 S State St Ste 220
Draper, UT 84020-7156

Fax (801) 571-6899

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

3 other providers at this address

About NPI 1689906976

Premier Plastic Surgery Group of Utah's National Provider Identifier is 1689906976, issued on Feb 11, 2010. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Draper, UT. The record was last updated on Jan 19, 2011.