OrganizationActive
Alta Bella Plastic Surgery PLLC
NPI 1023721537 · Plastic Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1023721537
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melody Van Boerum, Surgeon/Owner(801) 613-1626
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
370 E 9th Ave Ste 200
Salt Lake City, UT 84103-3185
Phone: (801) 613-1626
Approximate (ZIP-level) locationGet directions
Mailing address
370 E 9th Ave Ste 200
Salt Lake City, UT 84103-3185
Registry dates
- Enumerated
- 2022-12-29
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.