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SOUTHERN UTAH SURGICAL AND LASER AESTHETICS LLC NPI 1114164365


NPI Information

NPI: 1114164365
Provider Name: SOUTHERN UTAH SURGICAL AND LASER AESTHETICS LLC

Doing Business As: RIVERSIDE MEDICAL ARTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1068 E RIVERSIDE DR
ST GEORGE, UT
ZIP 84790
Phone: (435) 628-6466
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SOUTHERN UTAH SURGICAL AND LASER AESTHETICS LLC is a specialist in St George, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN UTAH SURGICAL AND LASER AESTHETICS LLC NPI is 1114164365. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Medical Arts.

The provider's business location address is:

1068 E RIVERSIDE DR
ST GEORGE, UT
ZIP 84790-477
Phone: (435) 628-6466
Fax: (435) 628-3845

The provider's authorized official is Benjamin Carter .
The authorized official title is Owner and has the following contact phone number (435) 628-6466.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 2/1/2022.


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
1207N00000XDermatologyNo
2174400000XSpecialistYes

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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