Institute Of Facial Surgery

NPI 1265656227 - Clinic/Center - 261QA1903X

NPI Details
NPI 1265656227
Enumeration Date 04/12/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRENT D BRENT
Position DIRECTOR
Phone (801) 261-3637
Fax (801) 261-4096
Practice Location
5929 FASHION BLVD
MURRAY UT, 84107-7364, US
Phone (801) 261-3637
Fax (801) 261-4096
Business Location
5929 FASHION BLVD
MURRAY UT, 84107-7364, US
Phone (801) 261-3637
Fax (801) 261-4096
Toxanomy
Taxonomy Code 261QA1903X
License State Utah
License Number 2001ASF0602
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According to our database, Institute Of Facial Surgery NPI is 1265656227, taxonomy code is 261QA1903X and license number is 2001ASF0602, license state is located at Utah. Institute Of Facial Surgery physically located at 5929 Fashion Blvd, Murray UT, 84107-7364. NPI Number 1033115704 has the healthcare provider type.

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1265656227 NPI number is provided on an as is basis without warranty of any kind. 1265656227 is maintained by the National Plan & Provider Enumeration System. The contents of Institute Of Facial Surgery are for informational purposes only.