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

Premier Plastic Surgery Group of Utah

Organization Plastic and Reconstructive Surgery Physician · NPI 1689906976

Premier Plastic Surgery Group of Utah is a Plastic and Reconstructive Surgery Physician in Draper, Utah. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

11762 S State St Ste 220
Draper, UT 84020-7156
Phone: (801) 571-2020
Fax: (801) 571-6899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1689906976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie White — Secretary · (801) 571-2020
NPI enumeratedFebruary 11, 2010
Last updated in NPPESJanuary 19, 2011
Mailing address11762 S State St Ste 220, Draper, UT 84020-7156

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