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Dr. Devan Griner, MD
Plastic Surgery Physician in Provo, Utah
NPI 1780895755

Devan Griner is a Plastic Surgery Physician based in Provo, UT. Devan Griner practices in Provo, UT and has the professional credentials of MD. The NPI Number for Devan Griner is 1780895755 and holds a License No. 374716-1205 (Utah).

The current practice location address for Devan Griner is 1055 N 300 W Ste 303, Provo, UT and can be reached out via phone at 801-702-9191 and via fax at 801-606-2705. You can also correspond with Devan Griner through the mailing address at 1055 N 300 W STE 303, PROVO, UT - 84604-3373 (mailing address contact number: 801-702-9191).

Location: 1055 N 300 W Ste 303, Provo, UT, 84604-3373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780895755
Provider Name
Devan Griner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 300 W Ste 303, Provo, UT, 84604-3373
Phone Number
801-702-9191
Fax Number
801-606-2705
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103I933353 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1055 N 300 W Ste 303
City
Provo
State
Utah
Zip
84604-3373
Phone Number
801-702-9191
Fax Number
801-606-2705
person
Provider Business Mailing Address Details
Address
1055 N 300 W Ste 303
City
Provo
State
Utah
Zip
84604-3373
Phone Number
801-702-9191
Fax Number
801-606-2705
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
374716-1205 (Utah)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
374716-1205 (Utah)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
374716-1205 (Utah)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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