Still Canyon Eyelid & Facial Plastic Surgery
LBN: Oculoplastic Surgery, Inc.
Still Canyon Eyelid & Facial Plastic Surgery is an health care organization with primary practice located at 5200 S Highland Dr Ste 201 , Holladay UT 84117-7003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
Oculoplastic Surgery, Inc. can be contacted via phone (801) 363-3356, or through Oberg, Thomas J J via phone (801) 363-3356.
Contact Information
Primary practice address
5200 S Highland Dr Ste 201
Holladay UT 84117-7003
Phone: (801) 363-3356
Fax: (801) 533-9613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X |
Profile Details
| NPI number | 1578780805 |
|---|---|
| LBN Legal business name | Oculoplastic Surgery, Inc. |
| DBA Doing business as | Still Canyon Eyelid & Facial Plastic Surgery |
| Authorized official | Oberg, Thomas J J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Sep 29th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578780805 | NPPES |
| Utah | MEDICAID | 479544679030 | |
| Utah | MEDICAID | 464491680001 | |
| Utah | MEDICAID | 485924851015 |
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