Active NPI 1063687051 Individual Practitioner Male Practitioner

Dr. Scott A Salmon , DO

Urology • St George, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Salmon, DO is a certified Urology practicing in St George, UT. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Salmon delivers high-quality medical care to the local community at 1380 E MEDICAL CENTER DR STE 2100.

Dr. Salmon is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, urinalysis, manual test, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1380 E Medical Center Dr Ste 2100

St George, UT 847902129

Telephone 4352513250

Associated Practice Facility / Clinic

🏢 Ihc Health Services Inc Facility NPI 1457671513

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in St George, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -5.4 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

7 Specialists

Practicing in St George, UT (112 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Salmon (18 Years) 18 Yrs

St George Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,100	20	$15.81	$6.23
81002 Urinalysis, manual test	299	264	$9.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	294	275	$194.35	$87.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	234	$283.24	$122.30
52000 Diagnostic exam of bladder and urethra using an endoscope	176	172	$514.08	$225.67
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	159	37	$530.30	$179.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$393.72	$159.77
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	55	55	$1923.09	$688.15
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	36	$79.71	$33.65
81003 Automated urinalysis test	39	38	$5.00	$2.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	34	31	$36.50	$15.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$263.75	$106.38
76872 Ultrasound scan of pelvic region through rectum	24	24	$347.04	$113.94
55700 Biopsy of prostate gland	24	24	$613.75	$229.25
52287 Exam with injections of chemical for destruction of bladder using an endoscope	19	19	$882.42	$369.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$511.11	$158.75
51798 Ultrasound measurement of bladder capacity after voiding	16	16	$35.63	$10.63
50590 Shock wave crushing of kidney stones	16	15	$1838.31	$524.40
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1013.14	$363.82
51702 Simple insertion of temporary bladder tube	13	12	$154.31	$58.54
74420 Imaging of urinary tract	13	13	$50.38	$23.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,101	19	$15.00	$6.24
81002 Urinalysis, manual test	791	543	$8.00	$3.39
99213 Established patient office or other outpatient visit, typically 15 minutes	512	411	$185.00	$87.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	379	$270.00	$123.53
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	344	54	$515.00	$168.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	185	185	$409.00	$161.25
52000 Diagnostic exam of bladder and urethra using an endoscope	170	153	$473.00	$232.28
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	89	54	$76.00	$32.63
51705 Removal of skin suture with change of bladder tube	79	26	$235.44	$93.70
51798 Ultrasound measurement of bladder capacity after voiding	77	74	$31.00	$10.26
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	58	58	$1862.00	$688.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$269.00	$108.60
51702 Simple insertion of temporary bladder tube	47	15	$155.00	$59.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	43	$112.00	$54.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	41	$56.00	$22.37
76872 Ultrasound scan of pelvic region through rectum	34	34	$318.00	$120.56
55700 Biopsy of prostate gland	34	34	$626.00	$233.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$142.00	$52.80
51703 Complicated insertion of bladder tube	26	11	$333.00	$145.02
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	21	$1236.50	$132.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$537.22	$168.12
52287 Exam with injections of chemical for destruction of bladder using an endoscope	21	19	$848.00	$377.21
50590 Shock wave crushing of kidney stones	20	20	$1849.00	$537.27
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$1064.00	$395.31
51700 Simple bladder irrigation and/or instillation	16	15	$186.00	$73.66
74420 Imaging of urinary tract	14	14	$47.00	$23.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	466	312	$8.76	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	329	257	$185.26	$88.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	216	$269.69	$124.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	220	220	$409.00	$163.45
52000 Diagnostic exam of bladder and urethra using an endoscope	164	151	$473.00	$238.92
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	140	23	$513.25	$177.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$269.00	$109.17
51798 Ultrasound measurement of bladder capacity after voiding	56	49	$31.00	$10.06
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	56	56	$1862.00	$706.36
51705 Removal of skin suture with change of bladder tube	47	18	$235.00	$94.55
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	23	$80.22	$32.18
51702 Simple insertion of temporary bladder tube	38	20	$155.00	$60.82
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	24	$1187.00	$120.59
51703 Complicated insertion of bladder tube	24	12	$333.00	$148.77
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	19	$1064.00	$401.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$505.00	$191.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$112.00	$54.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$56.00	$22.41
76872 Ultrasound scan of pelvic region through rectum	12	12	$318.00	$127.76
74420 Imaging of urinary tract	11	11	$47.00	$24.21
55700 Biopsy of prostate gland	11	11	$626.00	$238.28
51700 Simple bladder irrigation and/or instillation	11	11	$186.00	$75.26
50590 Shock wave crushing of kidney stones	11	11	$1849.00	$498.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	420	283	$8.00	$3.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	249	$270.00	$127.34
99213 Established patient office or other outpatient visit, typically 15 minutes	283	228	$185.00	$89.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	262	262	$409.00	$164.89
52000 Diagnostic exam of bladder and urethra using an endoscope	165	154	$473.00	$230.66
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	20	$515.00	$177.91
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	54	54	$1862.00	$719.57
51705 Removal of skin suture with change of bladder tube	52	13	$235.00	$96.08
51703 Complicated insertion of bladder tube	47	14	$333.00	$146.97
51798 Ultrasound measurement of bladder capacity after voiding	46	42	$31.00	$9.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	20	$76.00	$31.78
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	25	$142.00	$57.06
76872 Ultrasound scan of pelvic region through rectum	29	28	$318.00	$132.89
55700 Biopsy of prostate gland	25	25	$626.00	$247.25
74420 Imaging of urinary tract	22	20	$47.00	$24.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$269.00	$110.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	17	$1249.53	$128.74
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	18	$1064.00	$410.16
50590 Shock wave crushing of kidney stones	14	14	$1849.00	$540.16
76000 Imaging guidance for procedure, 60 minutes or less	11	11	$22.00	$15.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	528	290	$8.00	$3.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	201	$270.00	$108.26
99213 Established patient office or other outpatient visit, typically 15 minutes	199	163	$185.00	$74.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$409.00	$164.00
52000 Diagnostic exam of bladder and urethra using an endoscope	135	124	$473.00	$209.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	125	17	$811.48	$222.08
51705 Removal of skin suture with change of bladder tube	59	13	$235.00	$95.51
51703 Complicated insertion of bladder tube	42	15	$333.00	$140.49
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	38	38	$1862.00	$731.44
51798 Ultrasound measurement of bladder capacity after voiding	35	32	$31.00	$10.06
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	17	$76.00	$31.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$269.00	$107.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	15	$67.59	$22.95
76000 Imaging guidance for procedure, 60 minutes or less	16	11	$22.00	$15.69
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	15	15	$4561.00	$1785.63
76872 Ultrasound scan of pelvic region through rectum	14	13	$318.00	$142.28
74420 Imaging of urinary tract	13	11	$47.00	$25.85
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$142.00	$57.26
55700 Biopsy of prostate gland	12	12	$626.00	$249.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	478	317	$6.12	$2.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	366	265	$210.19	$107.32
99213 Established patient office or other outpatient visit, typically 15 minutes	363	264	$121.74	$73.35
81002 Urinalysis, manual test	286	168	$8.41	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$349.56	$163.19
52000 Diagnostic exam of bladder and urethra using an endoscope	159	154	$389.71	$188.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	29	$620.24	$226.33
51798 Ultrasound measurement of bladder capacity after voiding	67	59	$29.71	$12.38
51702 Simple insertion of temporary bladder tube	58	22	$133.59	$60.22
51705 Removal of skin suture with change of bladder tube	57	16	$161.82	$92.32
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	38	38	$1604.37	$742.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	36	$340.84	$201.67
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	29	$59.12	$30.52
76872 Ultrasound scan of pelvic region through rectum	31	25	$301.50	$125.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	21	$31.16	$21.63
76000 Imaging guidance for procedure, 60 minutes or less	23	18	$42.74	$15.20
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$178.53	$56.71
55700 Biopsy of prostate gland	16	16	$520.76	$249.87
50590 Shock wave crushing of kidney stones	14	12	$1095.99	$579.21
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	12	$835.71	$409.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$775.16	$133.84
51700 Simple bladder irrigation and/or instillation	13	13	$156.99	$66.53
J3490 Unclassified drugs	12	12	$5.00	$4.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,104	559	$6.12	$2.69
99213 Established patient office or other outpatient visit, typically 15 minutes	609	342	$109.71	$71.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	334	$161.64	$105.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	251	251	$247.91	$160.52
52000 Diagnostic exam of bladder and urethra using an endoscope	207	175	$309.51	$158.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	177	19	$375.00	$212.02
51705 Removal of skin suture with change of bladder tube	111	16	$138.00	$90.64
51702 Simple insertion of temporary bladder tube	110	31	$122.30	$61.48
51798 Ultrasound measurement of bladder capacity after voiding	95	78	$28.89	$15.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	71	$306.49	$199.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	59	19	$48.84	$30.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	25	$30.03	$21.12
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	42	42	$1294.49	$734.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	27	$106.88	$71.80
51741 Electronic assessment of bladder emptying	30	29	$48.27	$8.04
76000 Imaging guidance for procedure, 60 minutes or less	30	26	$49.61	$8.68
76872 Ultrasound scan of pelvic region through rectum	30	26	$284.57	$95.13
51700 Simple bladder irrigation and/or instillation	22	21	$126.17	$61.31
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$245.50	$58.95
55700 Biopsy of prostate gland	20	20	$330.21	$247.05
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$475.15	$314.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$400.51	$123.53
50590 Shock wave crushing of kidney stones	17	14	$1095.99	$570.89
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	15	$302.73	$208.62
54235 Injection procedure to induce erection	12	12	$137.25	$91.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$162.59	$105.78
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$618.83	$419.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	840	466	$6.12	$3.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	351	$161.64	$105.84
99213 Established patient office or other outpatient visit, typically 15 minutes	516	249	$109.71	$72.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	274	274	$247.91	$161.69
52000 Diagnostic exam of bladder and urethra using an endoscope	169	145	$309.51	$163.04
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	141	16	$375.00	$209.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	118	$372.07	$200.14
51702 Simple insertion of temporary bladder tube	114	27	$107.09	$62.38
51705 Removal of skin suture with change of bladder tube	114	17	$138.00	$90.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	37	$114.89	$71.31
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	16	$48.83	$32.04
76000 Imaging guidance for procedure, 60 minutes or less	37	27	$70.44	$8.70
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	36	36	$1306.31	$850.55
51798 Ultrasound measurement of bladder capacity after voiding	36	34	$28.89	$19.07
76872 Ultrasound scan of pelvic region through rectum	25	25	$293.65	$90.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	22	$329.92	$134.04
55700 Biopsy of prostate gland	19	19	$330.21	$234.85
51700 Simple bladder irrigation and/or instillation	18	17	$124.25	$52.07
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$25.67	$16.73
50590 Shock wave crushing of kidney stones	14	13	$1095.99	$570.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$245.50	$55.43
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$638.00	$372.40
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$230.35	$30.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$162.59	$106.46
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$322.65	$227.14

Medical Specialties & State Licenses

CMS Verified: 2024-08-14

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License UT 13899185-1204

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License AZ 006115

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1380 E Medical Ctr Dr, St George, UT 847902129

Phone: 4352513250

Ihc Health Services Inc

166 W 1325, Cedar City, UT 847217796

Phone: 4355868192

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

1303 N Main St, Cedar City, UT 847219746

Ihc Health Services Inc

1380 E Medical Ctr Dr, St George, UT 847902123

Ihc Health Services Inc

736 S 900, St George, UT 847907000

Phone: 4352513250

Ihc Health Services Inc

1380 E Medical Ctr Dr, St George, UT 847902127

Phone: 4352512600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Thomas Brinton , MD

Urology

NPI 1558593046

Doctor of Medicine (M.D.)

Dr. David Adams , MD

Urology

NPI 1669695920

Doctor of Medicine (M.D.)

Dr. Bryant Whiting , MD

Urology

NPI 1760687388

Doctor of Medicine (M.D.)

Tara Carpenter

Physician Assistant - Surgical

NPI 1770108979

Laura Roberts , RN

Registered Nurse

NPI 1962324574

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location August 14, 2024

Registered at 1380 E MEDICAL CENTER DR STE 2100, ST GEORGE, UT 847902129 (Tel: 4352513250)

📍

Updated Business Mailing Address August 14, 2024

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

📍

Updated Practice Location April 12, 2024

Registered at 4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 859017827 (Tel: 9285371605)

📍

Updated Business Mailing Address April 12, 2024

Registered at 4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 859017827 (Tel: 9285371605)

✅

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2013

Registered at 6007 E BASELINE RD, SUITE 105, MESA, AZ 852064801 (Tel: 4808972727)

📍

Updated Business Mailing Address August 08, 2013

Registered at 6007 E BASELINE RD, SUITE 105, MESA, AZ 852064801 (Tel: 4808972727)

👤

Provider Name / Credentials Updated August 08, 2013

Recorded as SCOTT SALMON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Urology (License #006115 in AZ)

🟢

Initial NPI Registration & Enumeration April 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063687051

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 29, 2008

Last Update: August 14, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.