Unknown Individual – Plastic Surgery Physician, NPI 1548336670
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3650, North University Avenue, Riverside, Edgemont, Provo, Utah County, Utah, 84604, United States
SUITE 200
PROVO, UT 84604
Phone: (801) 373-4300
Fax: (801) 418-0217
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84604)
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