Organization
AMP UTAH CLINIC P C
Active
Other names
22 Plastic Surgery, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN REUBEN MD (CEO)
(801) 647-5522
Entity
Organization
Contact information
Practice address
6686 S HIGHLAND DR STE 200, COTTONWOOD HEIGHTS, UT 84121-3037
(801) 937-9650
Mailing address
3500 MAPLE AVE STE 1600, DALLAS, TX 75219-3936
(801) 937-9650
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
10/05/2023
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