Healthcare Provider Details

I. General information

NPI: 1649857061
Provider Name (Legal Business Name): PRECISION JOINT SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1046 E 100 S STE D
SALT LAKE CITY UT
84102-1520
US

IV. Provider business mailing address

24 S 1100 E STE 101
SALT LAKE CITY UT
84102-1562
US

V. Phone/Fax

Practice location:
  • Phone: 801-355-6468
  • Fax: 801-355-6468
Mailing address:
  • Phone: 801-355-6468
  • Fax: 801-355-3450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON ADAM HOFMANN
Title or Position: OWNER
Credential: MD
Phone: 801-355-6468