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Contact Information

CENTER FOR ADVANCED PLASTIC SURGERY
676 S BLUFF ST
SUITE 207
SAINT GEORGE, UT84770-3596
 Phone: 435-628-2895
 Fax: 435-628-5943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CENTER FOR ADVANCED PLASTIC SURGERY

NPI Number 1316998560
LBN Legal business name CENTER FOR ADVANCED PLASTIC SURGERY
Authorized official MARCUS PETERSON - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
UT License # 345016
KY Other 0004328723 AETNA
NV Other 2085401 BCBS NV
UT Other 0007137728 AETNA
UT Other 902568 DMBA
UT Other 107007770102 IHC PET
UT Other 101009187101 IHC RHODES
UT Other 19344612000001 REGENCE
UT Other 19344612000001 VALUECARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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