| NPI | 1487198321 | 
|---|---|
| Doing Business As | UTAH FACIAL PLASTICS | 
| Entity Type | Organization | 
| Authorized Contact | SCOTT KENT THOMPSON Sole Owner 801-776-2220  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: UT 6103240-1205)  | 
| Enumeration Date | 2016-12-12 | 
| Last Update Date | 2016-12-12 |