Individual
DR. IAN R CAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4252 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124-2690
(801) 965-3600
Mailing address
7181 S CAMPUS VIEW DR, WEST JORDAN, UT 84084-4312
(801) 965-3505
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34-00-8456
OH
208600000X
Surgery Physician
Primary
6446111-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265638357
—
UT
Enumeration date
07/26/2006
Last updated
11/18/2020
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