VINCENT SURGICAL ARTS LLC NPI 1538572169

NPI Information

NPI: 1538572169
Provider Name: VINCENT SURGICAL ARTS, LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 46D2022858

Address:
6710 S BLACKSTONE RD
SUITE 201
COTTONWOOD HEIGHTS, UT
ZIP 84121
Phone: (801) 942-1111
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VINCENT SURGICAL ARTS, LLC is a plastic and reconstructive surgery surgery in Cottonwood Heights, UT. The provider is a surgeon who specializes in plastic and reconstructive surgery. VINCENT SURGICAL ARTS, LLC NPI is 1538572169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6710 S BLACKSTONE RD
SUITE 201
COTTONWOOD HEIGHTS, UT
ZIP 84121-072
Phone: (801) 942-1111
Fax: (801) 942-1188

The provider's authorized official is Drake G Vincent .
The authorized official title is Medical Director and has the following contact phone number (801) 942-1111.

The CLIA number assigned to this NPI record is 46D2022858 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/11/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	5767298-8905	UTAH	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5828175-0160	OTHER	UTAH	BUSINESS ENTITY

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: 5/5/2024

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