Whalio Doctors

NPI 1679624225

Robert Lee Youngblood, MD

Practitioner Plastic Surgery Physician Sandy, UT

Practice location

Address
880 E 9400 S Suite 111, Sandy, UT 84094-3667
Phone
(801) 571-4007
Fax
(801) 571-4145

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 150842-1205 (UT)

Registry record

NPI
1679624225
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jan 2007
Record last updated
8 Jul 2007

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.