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AVICENNA PC NPI 1952475410


NPI Information

NPI: 1952475410
Provider Name: AVICENNA PC

Doing Business As: AVICENNA SPINE & JOINT CARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8706 S 700 E
SUITE 206
SANDY, UT
ZIP 84070
Phone: (801) 942-6000
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AVICENNA PC is a specialist in Sandy, 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. AVICENNA PC NPI is 1952475410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avicenna Spine & Joint Care.

The provider's business location address is:

8706 S 700 E
SUITE 206
SANDY, UT
ZIP 84070-807
Phone: (801) 942-6000
Fax: (801) 748-4069

The provider's authorized official is Simon Voitanik .
The authorized official title is Owner and has the following contact phone number (801) 942-6000.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/28/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist2764211205UTAHYes

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
1000059664MEDICARE PINUTAH
2000059664OTHERUTAHMEDICARE ID-PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.