Blaine P Andersen in Logan - Plastic Surgery
Blaine P Andersen - NPI 1538279609
Blaine P Andersen is a Plastic Surgery in Logan, Utah. Blaine P Andersen practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Blaine P Andersen is 1538279609. The last update date is 2016-11-10.
Blaine P Andersen's current location address is 1300 N 500 E, Logan, Utah. You can contact this provider via phone number 4357533400 and fax number 4357878887. The mailing address for Blaine P Andersen is 1300 N 500 E, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaine P Andersen |
|---|---|
| Address | 1300 N 500 E, Logan, Utah |
| Phone Number | 4357533400 |
| Fax Number | 4357878887 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538279609 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2016-11-10 |
Provider Mailing Address Detail
| Address | 1300 N 500 E |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843412408 |
| Phone Number | 4357533400 |
| Fax Number | 4357878887 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 1788161205 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3052200 | ID | -- |
Post Comment/ Review Below
What is the Blaine P Andersen's unique identification number?
The Blaine P Andersen has been assigned the NPI (National Provider Identifier) Number 1538279609 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Blaine P Andersen?
The Blaine P Andersen is physically situated at 1300 N 500 E, in the city of Logan, state of UT, with the postal code 843412408.
What is Blaine P Andersen's area of expertise and its corresponding taxonomy classification?
The Blaine P Andersen's field of specialization is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their areas of practice.
When was the Blaine P Andersen's 1538279609 issued?
The Blaine P Andersen's 1538279609 was issued on 2006-08-30.
When was the information regarding Blaine P Andersen most recently updated?
The details pertaining to the Blaine P Andersen, including its address, specialty, and other relevant information, were last refreshed on 2016-11-10.