Whalio Doctors

NPI 1851545081

Premier Plastic Surgery Group of Utah, LLC

Organisation Plastic Surgery Physician Bountiful, UT

Practice location

Address
1551 Renaissance Towne Dr Suite 360, Bountiful, UT 84010-7675
Phone
(801) 295-9105
Fax
(801) 295-9264

Authorised official

Name
Joseph Gregory Kjar
Title
Partner
Phone
(801) 295-9105

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 170345-1205 (UT)

Registry record

NPI
1851545081
Entity type
Organization
NPI issued
14 Nov 2008
Record last updated
3 Aug 2010

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.