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Contact Information

JOHN M SELF, MD
5292 SO COLLEGE DR
202
MURRAY, UT84123
 Phone: 801-266-3671
 Fax: 801-266-8194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN M SELF · (Male)

NPI Number 1912012287
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 3557751205
Hospital affiliation(s)
  • ST MARKS HOSPITAL - (Acute Care)
    1200 EAST 3900 SOUTH
    SALT LAKE CITY, UT 84124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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