Organization
U OF U PLASTIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF WARE (BILLING MANAGER)
(801) 581-7073
Entity
Organization
Contact information
Practice address
30 N 1900 E, RM 3B400, SALT LAKE CITY, UT 84132-0006
(801) 581-7073
(801) 581-5794
Mailing address
PO BOX 58049, SALT LAKE CITY, UT 84158-0049
(801) 581-7073
(801) 581-5794
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5034170-4405
UT
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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