| Plastic Surgery Institute Of Utah | |
|
7535 S Union Park Ave Midvale UT 84047-3043 | |
| (801) 859-9004 | |
| (877) 595-1086 |
| Full Name | Plastic Surgery Institute Of Utah |
|---|---|
| Speciality | Clinic/center |
| Location | 7535 S Union Park Ave, Midvale, Utah |
| Authorized Official Name and Position | Michael Kirk Moore (OWNER) |
| Authorized Official Contact | 8016852730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plastic Surgery Institute Of Utah 7535 S Union Park Ave Midvale UT 84047-3043 Ph: (801) 859-9004 | Plastic Surgery Institute Of Utah 7535 S Union Park Ave Midvale UT 84047-3043 Ph: (801) 859-9004 |
| NPI Number | 1659012292 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659012292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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