| NPI | 1851545081 |
|---|---|
| Other Name | PPSG-BOUNTIFUL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH GREGORY KJAR Partner 801-295-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 170345-1205) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2010-08-03 |