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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