Desert Bloom Plastic Surgery Llc

LBN: Desert Bloom Plastic Surgery Llc
Desert Bloom Plastic Surgery Llc is an health care organization with primary practice located at 446 S Mall Dr Ste 1 , St George UT 84790-4944. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Desert Bloom Plastic Surgery Llc can be contacted via phone (435) 627-8150, or through Wallin, Jordan via phone (336) 529-8744.

Contact Information

Primary practice address
446 S Mall Dr Ste 1 St George UT 84790-4944
Fax:
Website:
Authorized official contact:
Name: Wallin, Jordan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1235691510
LBN Legal business name Desert Bloom Plastic Surgery Llc
DBA Doing business as
Authorized official Wallin, Jordan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2019
Last updated Apr 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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