Plastic Surgery Institute of Utah

NPI #1659012292 in Midvale, Utah

Provider Information

NPI Number
1659012292
Entity Type
Organization
Organization Name
Plastic Surgery Institute of Utah
Primary Specialty
Clinic/Center
Enumeration Date
Apr 6, 2022
Last Updated
Apr 6, 2022

Practice Location

Address
7535 S UNION PARK AVE
State
Utah
ZIP Code
84047-3043
Phone
(801) 859-9004

Authorized Official

Name
MICHAEL KIRK MOORE, MD
Title
OWNER
Phone
(801) 685-2730

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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