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Organization
UTAH PLASTIC SURGERY LLC
Active
Organization
UTAH PLASTIC SURGERY LLC
Active
Other names
Utah Facial Plastics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT KENT THOMPSON M.D. (SOLE OWNER)
(801) 776-2220
Entity
Organization
Contact information
Practice address
2255 N 1700 W, #205, LAYTON, UT 84041-1119
(801) 776-2220
(801) 776-2534
Mailing address
2255 N 1700 W, #205, LAYTON, UT 84041-1119
(801) 776-2220
(801) 776-2534
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
6103240-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529599912001
—
UT
Enumeration date
12/12/2016
Last updated
12/12/2016
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