Larry A Sargent in Bountiful - Plastic Surgery Within The Head And Neck

Larry A Sargent - NPI 1346217882

Larry A Sargent is a Plastic Surgery Within The Head And Neck in Bountiful, Utah. Larry A Sargent practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Larry A Sargent is 1346217882. The last update date is 2016-10-17.

Larry A Sargent's current location address is 620 Medical Dr, Bountiful, Utah. You can contact this provider via phone number 8012956554 and fax number 8012944983. The mailing address for Larry A Sargent is 620 Medical Dr, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry A Sargent
Address 620 Medical Dr, Bountiful, Utah
Phone Number 8012956554
Fax Number 8012944983
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346217882
Provider Enumeration Date 2006-03-03
Last Updated Date 2016-10-17

Provider Mailing Address Detail

Address 620 Medical Dr
City Bountiful
State Utah (UT)
Post Code 840105084
Phone Number 8012956554
Fax Number 8012944983

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head And Neck
Taxonomy 2082S0099X
Licence No 18170
Definition:
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000348466A TN --
2006636 TN BCBS GROUP
PLF03906636 TN CHAMPUS
151430 TN BCBS
240004378 TN RAILROAD MEDICARE
1348074 TN UNITED HEALTHCARE INS.
TN0105 TN JOHN DEERE INS.
1114640001 TN PALMETTO DME

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FAQs about Larry A Sargent

What is the unique identification code assigned to Larry A Sargent by the Centers for Medicare & Medicaid Services?

The Larry A Sargent has been issued the NPI (National Provider Identifier) 1346217882. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Larry A Sargent's physical address?

The Larry A Sargent is physically located at 620 Medical Dr, in the city of Bountiful, UT, with the postal code 840105084.

What is the Larry A Sargent's specialty and taxonomy code?

The Larry A Sargent's specialty is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy code is 2082S0099X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346217882 to Larry A Sargent?

The Centers for Medicare & Medicaid Services originally issued the 1346217882 to Larry A Sargent on 2006-03-03.

As of what date were the details pertaining to Larry A Sargent last refreshed?

The information related to the Larry A Sargent, including its address, specialty, and other relevant details, was last updated on 2016-10-17.

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