Excel Cosmetic Surgery Center
NPI #1851422703 in Provo, Utah
Provider Information
- NPI Number
- 1851422703
- Entity Type
- Organization
- Organization Name
- Excel Cosmetic Surgery Center
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Aug 19, 2008
Practice Location
Authorized Official
- Name
- MR. DALE BLAKE
- Title
- ADMINISTRATOR
- Phone
- (801) 374-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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