Organization
ALTA BELLA PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELODY SCHEEFER VAN BOERUM MD (SURGEON/OWNER)
(801) 613-1626
Entity
Organization
Contact information
Practice address
370 E 9TH AVE STE 200, SALT LAKE CITY, UT 84103-3185
(801) 613-1626
Mailing address
370 E 9TH AVE STE 200, SALT LAKE CITY, UT 84103-3185
(801) 613-1626
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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