GAVIN VAN STADEN MD PC is a clinic center in Bountiful, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GAVIN VAN STADEN MD PC NPI is 1801174172. The provider is registered as an organization entity type.
The provider's business location address is:
3263 S HIGHWAY 89
STE 300
BOUNTIFUL, UT
ZIP 84010-555
Phone: (801) 296-0600
The provider's authorized official is Gavin Van Staden .
The authorized official title is Dr and has the following contact phone number (801) 201-2771.
The enumeration date for this NPI number is 8/3/2011 and was last updated on 8/3/2011.