Organization · Type 2 NPI
Gavin Van Staden MD PC
Clinic/Center · Bountiful, UT
NPI number
1801174172
Active
Practice location
3263 S Highway 89, Ste 300
Bountiful, UT 84010-8555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 5863514-1205 (UT) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in Bountiful
About NPI 1801174172
Gavin Van Staden MD PC's National Provider Identifier is 1801174172, issued on Aug 3, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bountiful, UT. The record was last updated on Aug 3, 2011.