Md Center For Facial Rejuvenation in Salt Lake City - Ophthalmologic Surgery
Md Center For Facial Rejuvenation - NPI 1467520437
Md Center For Facial Rejuvenation is a Ophthalmologic Surgery in Salt Lake City, Utah. Md Center For Facial Rejuvenation practices all healthcare services and medical treatments related to Ophthalmologic Surgery. The NPI Number for Md Center For Facial Rejuvenation is 1467520437. The last update date is 2020-08-22.
Md Center For Facial Rejuvenation's current location address is 6440 Wasatch Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8014243223 and fax number 8014243228. The mailing address for Md Center For Facial Rejuvenation is 6440 Wasatch Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Md Center For Facial Rejuvenation |
|---|---|
| Address | 6440 Wasatch Blvd, Salt Lake City, Utah |
| Phone Number | 8014243223 |
| Fax Number | 8014243228 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnsen Rodney Justin |
| Credentials | M.D. |
| Telephone Number | 8014243223 |
NPI Number Detail
| NPI Number | 1467520437 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6440 Wasatch Blvd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841213511 |
| Phone Number | 8014243223 |
| Fax Number | 8014243228 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmologic Surgery |
|---|---|
| Taxonomy | 261Qs0132X |
| Licence No | 6139294-1205 |
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Definition: Provides surgical procedures to treat eye conditions and disorders. |
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What is the Md Center For Facial Rejuvenation's unique identification number?
The Md Center For Facial Rejuvenation has been assigned the NPI (National Provider Identifier) Number 1467520437 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Md Center For Facial Rejuvenation located?
The Md Center For Facial Rejuvenation is located at 6440 Wasatch Blvd, Salt Lake City, UT 841213511.
What is the area of specialization for Md Center For Facial Rejuvenation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Md Center For Facial Rejuvenation is Ophthalmologic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 261Qs0132X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467520437 to Md Center For Facial Rejuvenation?
The Centers for Medicare & Medicaid Services assigned the 1467520437 to Md Center For Facial Rejuvenation on 2006-11-30.
As of what date was the information regarding Md Center For Facial Rejuvenation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Md Center For Facial Rejuvenation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.