EXCEL COSMETIC SURGERY CENTER NPI 1851422703

NPI Information

EXCEL COSMETIC SURGERY CENTER is a plastic and reconstructive surgery surgery in Provo, UT. The provider is a surgeon who specializes in plastic and reconstructive surgery. EXCEL COSMETIC SURGERY CENTER NPI is 1851422703. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Central Utah Eye Associates.

The provider's business location address is:

1735 N STATE ST
PROVO, UT
ZIP 84604-010
Phone: (801) 379-2900
Fax: (801) 374-6295

The provider's authorized official is Dale Blake .
The authorized official title is Administrator and has the following contact phone number (801) 374-1818.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/19/2008.

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:

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