| NPI | 1144684994 |
|---|---|
| Doing Business As | PEDIATRIC PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FINLAYSON Chief Clinical Officer 801-587-6336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2021-01-22 |