Organization
PREMIER PLASTIC SURGERY GROUP OF UTAH, LLC
Active
Other names
PPSG-Bountiful
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GREGORY KJAR M.D. (PARTNER)
(801) 295-9105
Entity
Organization
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, SUITE 360, BOUNTIFUL, UT 84010-7675
(801) 295-9105
(801) 295-9264
Mailing address
1551 RENAISSANCE TOWNE DR, SUITE 360, BOUNTIFUL, UT 84010-7675
(801) 295-9105
(801) 295-9264
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
170345-1205
UT
Other
Enumeration date
11/14/2008
Last updated
08/03/2010
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