Organization
PLASTIC SURGERY INSTITUTE OF UTAH
Active
Other names
Doctor/Owner
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KIRK MOORE MD (OWNER)
(801) 685-2730
Entity
Organization
Contact information
Practice address
7535 S UNION PARK AVE, MIDVALE, UT 84047-3043
(801) 859-9004
(877) 595-1086
Mailing address
7535 S UNION PARK AVE, MIDVALE, UT 84047-3043
(801) 859-9004
(877) 595-1086
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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