OrganizationActive
Gavin Van Staden MD PC
NPI 1801174172 · Clinic/Center · Bountiful, UT
Provider details
- NPI number
- 1801174172
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gavin Van Staden, Dr(801) 201-2771
- License
- 5863514-1205 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3263 S Highway 89
Ste 300
Bountiful, UT 84010-8555
Phone: (801) 296-0600
Approximate (ZIP-level) locationGet directions
Mailing address
3263 S Highway 89
Bountiful, UT 84010-8555
Registry dates
- Enumerated
- 2011-08-03
- Last updated
- 2011-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.