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Gavin Van Staden Md Pc
Clinic/Center in Bountiful, Utah
NPI 1801174172

Gavin Van Staden Md Pc is a Clinic/Center based in Bountiful, UT. Gavin Van Staden Md Pc practices in Bountiful, UT. The NPI Number for Gavin Van Staden Md Pc is 1801174172 and holds a License No. 5863514-1205 (Utah).

The current practice location address for Gavin Van Staden Md Pc is 3263 S Highway 89, Bountiful, UT and can be reached out via phone at 801-296-0600.

Location: 3263 S Highway 89, Bountiful, UT, 84010-8555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801174172
Provider Name
Gavin Van Staden Md Pc
Credential
Provider Entity Type
Organization
Address
3263 S Highway 89, Bountiful, UT, 84010-8555
Phone Number
801-296-0600
Fax Number
Provider Enumeration Date
08/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3263 S Highway 89
City
Bountiful
State
Utah
Zip
84010-8555
Phone Number
801-296-0600
Fax Number
person
Provider Business Mailing Address Details
Address
3263 S Highway 89
City
Bountiful
State
Utah
Zip
84010-8555
Phone Number
801-296-0600
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
5863514-1205 (Utah)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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