Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bountiful Surgical Associates

Organization Surgery Physician · NPI 1316117567

Bountiful Surgical Associates is a Surgery Physician in Bountiful, Utah. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

425 Medical Dr #101
Bountiful, UT 84010
Phone: (801) 298-1123
Fax: (801) 292-1271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1316117567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Todd — President · (801) 298-1123
NPI enumeratedMarch 4, 2008
Last updated in NPPESMarch 7, 2008
Mailing address425 Medical Drive #101, Bountiful, UT 84010

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