Bountiful Surgical Associates in Bountiful - Surgery
Bountiful Surgical Associates - NPI 1316117567
Bountiful Surgical Associates is a Surgery in Bountiful, Utah. Bountiful Surgical Associates practices all healthcare services and medical treatments related to Surgery. The NPI Number for Bountiful Surgical Associates is 1316117567. The last update date is 2008-03-07.
Bountiful Surgical Associates's current location address is 425 Medical Drive #101, Bountiful, Utah. You can contact this provider via phone number 8012981123 and fax number 8012921271. The mailing address for Bountiful Surgical Associates is 425 Medical Drive #101, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bountiful Surgical Associates |
|---|---|
| Address | 425 Medical Drive #101, Bountiful, Utah |
| Phone Number | 8012981123 |
| Fax Number | 8012921271 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Todd H Russell |
| Credentials | MD |
| Telephone Number | 8012981123 |
NPI Number Detail
| NPI Number | 1316117567 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 425 Medical Drive #101 |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 84010 |
| Phone Number | 8012981123 |
| Fax Number | 8012921271 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the Bountiful Surgical Associates's 1316117567?
The Bountiful Surgical Associates's NPI (National Provider Identifier) Number is 1316117567. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bountiful Surgical Associates located?
The Bountiful Surgical Associates is located at 425 Medical Drive #101, Bountiful, UT 84010.
What is Bountiful Surgical Associates's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bountiful Surgical Associates's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
When did Bountiful Surgical Associates receive its 1316117567 assignment?
The Bountiful Surgical Associates was assigned its 1316117567 on 2008-03-04, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Bountiful Surgical Associates most recently updated or revised?
The details related to Bountiful Surgical Associates, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-07.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA