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REFINE THE BODY INC NPI 1841736501


NPI Information

NPI: 1841736501
Provider Name: REFINE THE BODY INC

Other Name: BLAINE P. ANDERSEN, M.D.

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
1300 N 500 E STE 260
LOGAN, UT
ZIP 84341
Phone: (435) 753-3400
Get Directions

REFINE THE BODY INC is a plastic surgery in Logan, UT. The provider is 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 cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. REFINE THE BODY INC NPI is 1841736501. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Blaine P. Andersen, M.d..

The provider's business location address is:

1300 N 500 E STE 260
LOGAN, UT
ZIP 84341-417
Phone: (435) 753-3400

The provider's authorized official is Blaine P Andersen .
The authorized official title is Physician and has the following contact phone number (435) 753-3400.

The enumeration date for this NPI number is 1/18/2017 and was last updated on 1/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery1788161205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E03477MEDICARE UPINUTAH
2528645618002MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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