Alta Bella Plastic Surgery PLLC
Alta Bella Plastic Surgery PLLC is a Plastic Surgery Physician in Salt Lake City, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
370 E 9th Ave Ste 200Salt Lake City, UT 84103-3185
Phone: (801) 613-1626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X |
|---|
Record details
| NPI number | 1023721537 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melody Van Boerum — Surgeon/Owner · (801) 613-1626 |
| NPI enumerated | December 29, 2022 |
| Last updated in NPPES | December 29, 2022 |
| Certification date | December 29, 2022 |
| Mailing address | 370 E 9th Ave Ste 200, Salt Lake City, UT 84103-3185 |
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