Griner, Devan

Griner, Devan is an individual health care provider with primary practice located at 1055 N 300 W Ste 303 , Provo UT 84604-3373. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Griner, Devan can be contacted via phone (801) 702-9191.

Contact Information

Primary practice address
1055 N 300 W Ste 303 Provo UT 84604-3373
Phone: (801) 702-9191
Fax: (801) 606-2705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 374716-1205 Utah
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 374716-1205 Utah
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 374716-1205 Utah

Profile Details

NPI number 1780895755
LBN Legal business name Griner, Devan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780895755 NPPES
Other 103I933353 MEDICARE PTAN

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