| NPI | 1346597507 |
|---|---|
| Doing Business As | NUVISTA PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JASON DAYNE PETERSEN President 801-971-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 83185641205) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-30 |