Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Plastic Surgery Group of Utah

Organization Plastic and Reconstructive Surgery Physician · NPI 1689906976

Premier Plastic Surgery Group of Utah provides Plastic and Reconstructive Surgery Physician services in Draper, Utah. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

11762 S State St Ste 220
Draper, UT 84020-7156 Not confirmed with CMS for 15 years — call before visiting
Phone: (801) 571-2020
Fax: (801) 571-6899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1689906976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie White — Secretary · (801) 571-2020
NPI enumeratedFebruary 11, 2010
Last updated in NPPESJanuary 19, 2011
Mailing address11762 S State St Ste 220, Draper, UT 84020-7156

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