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SUMMIT LASER MEDICAL ARTS LLC NPI 1437347770


NPI Information

NPI: 1437347770
Provider Name: SUMMIT LASER MEDICAL ARTS, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2952 CAITLAND CT
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 414-5339
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SUMMIT LASER MEDICAL ARTS, LLC is a vascular surgery surgery in Salt Lake City, UT. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SUMMIT LASER MEDICAL ARTS, LLC NPI is 1437347770. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2952 CAITLAND CT
SALT LAKE CITY, UT
ZIP 84121-018
Phone: (801) 414-5339

The provider's authorized official is David Feuer .
The authorized official title is Medical Director and has the following contact phone number (801) 414-5339.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 10/11/2007.


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
12086S0129XSurgeryVascular Surgery5252145-1205UTAHYes

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
1H16812MEDICARE UPINUTAH
2D4937MEDICAIDUTAH

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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