Dr Dino Maglic, MD | |
30 N 1900 E, Suite 3b400, Salt Lake City, UT 84132-0002 | |
(801) 581-8419 | |
Not Available |
Full Name | Dr Dino Maglic |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 30 N 1900 E, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639602790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 10957176-1205 (Utah) | Primary |
Entity Name | Premier Plastic Surgery Group Of Utah Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497941603 PECOS PAC ID: 6406823392 Enrollment ID: O20040910000970 |
Mailing Address | Practice Location Address |
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Dr Dino Maglic, MD 30 N 1900 E, Suite 3b400, Salt Lake City, UT 84132-0002 Ph: (801) 581-8419 | Dr Dino Maglic, MD 30 N 1900 E, Suite 3b400, Salt Lake City, UT 84132-0002 Ph: (801) 581-8419 |
Dr. Grant Andreas Fairbanks, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1151 East 3900 South, Suite #b110, Salt Lake City, UT 84124 Phone: 801-268-8838 Fax: 801-268-8264 | |
Dr. Neel D. Bhagat, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Phoebe L. Lee, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Brittany M. Foley, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Jason Dayne Petersen, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5353 S 960 E, #150, Salt Lake City, UT 84117 Phone: 801-261-5791 Fax: 801-747-7740 | |
Dr. David Snow Thomas, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, 200, Salt Lake City, UT 84103 Phone: 801-355-0731 Fax: 801-322-1099 | |
Paul Winograd, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, 5th Floor, Salt Lake City, UT 84112 Phone: 801-581-2121 |