NPI 1184318826

Plastics Clinic LLC

Organisation Plastic Surgery Physician South Jordan, UT

Practice location

Address: 1309 W South Jordan Pkwy STE 110, South Jordan, UT 84095-9014
Phone: (801) 839-5557
Fax: (801) 770-4455

Authorised official

Name: Tim Prusse
Title: Manager
Phone: (801) 386-1337

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Utah →

Registry record

NPI: 1184318826
Entity type: Organization
NPI issued: 6 Jun 2023
Record last updated: 31 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.