IndividualActive
John Self, MD
NPI 1912012287 · Plastic Surgery Physician · Murray, UT
Provider details
- NPI number
- 1912012287
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 3557751205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5292 So College Dr
202
Murray, UT 84123
Phone: (801) 266-3671
Fax: (801) 266-8194
Approximate (ZIP-level) locationGet directions
Mailing address
5292 So College Dr
Murray, UT 84123
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.