Healthcare Provider Details
I. General information
NPI: 1811151145
Provider Name (Legal Business Name): AARON A SEE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/16/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
793 E GRAND CAYMAN DR
SALT LAKE CITY UT
84107-3600
US
IV. Provider business mailing address
793 E GRAND CAYMAN DR
SALT LAKE CITY UT
84107-3600
US
V. Phone/Fax
- Phone: 915-474-7725
- Fax:
- Phone: 915-474-7725
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171000000X |
| Taxonomy | Military Health Care Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XP3100X |
| Taxonomy | Pediatric Orthopaedic Surgery Physician |
| License Number | 10264883-1204 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: