Refine the Body INC

NPI #1841736501 in Logan, Utah

Provider Information

NPI Number: 1841736501
Entity Type: Organization
Organization Name: Refine the Body INC
Primary Specialty: Plastic Surgery
Enumeration Date: Jan 18, 2017
Last Updated: Jan 18, 2017

Practice Location

Address: 1300 N 500 E STE 260
City: Logan
State: Utah
ZIP Code: 84341-2417
Phone: (435) 753-3400

Authorized Official

Name: DR. BLAINE P ANDERSEN, MD
Title: PHYSICIAN
Phone: (435) 753-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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