Organization
DANIEL S. SELLERS M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S SELLERS M.D. (OWNER)
(801) 295-6554
Entity
Organization
Contact information
Practice address
620 MEDICAL DR, SUITE 310, BOUNTIFUL, UT 84010-5084
(801) 295-6554
Mailing address
620 MEDICAL DR, SUITE 310, BOUNTIFUL, UT 84010-5084
(801) 295-6554
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
176560-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540648443016
—
UT
Enumeration date
07/12/2006
Last updated
10/15/2007
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