Gavin Van Staden MD PC
Gavin Van Staden MD PC is a Clinic/Center in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2011.
- Licensed in
- UT
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3263 S Highway 89 Ste 300Bountiful, UT 84010-8555
Phone: (801) 296-0600
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 5863514-1205 (UT) |
|---|
Record details
| NPI number | 1801174172 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gavin Van Staden — Dr · (801) 201-2771 |
| NPI enumerated | August 3, 2011 |
| Last updated in NPPES | August 3, 2011 |
| Mailing address | 3263 S Highway 89, Ste 300, Bountiful, UT 84010-8555 |
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