Dr. Todd B Engen
Plastic and Reconstructive Surgery
1735 N State St
Provo
, Utah 84604-1010
Dr. Todd B Engen
Plastic and Reconstructive Surgery
1735 N State St
Provo
, Utah 84604-1010
(801) 374-6295
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Todd B Engen
- 1735 N State St Suite 201
- Provo, UT
- Zip : 84604-1010
- Fax : (801) 374-6295
- Phone : (801) 379-2900
Second Address
- Dr. Todd B Engen
- 1735 N State St
- Provo, UT
- Zip : 84604-1010
- Fax : (801) 374-6295
- Phone : (801) 379-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0122X | Plastic and Reconstructive Surgery | 983591001205 | UT |
National Provider Identifier
| NPI | 1295705697 |
|---|---|
| Provider Name | Dr. Todd B Engen |
| First Address | Provo, UT 84604-1010 |
| Second Address | Provo, UT 84604-1010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2006 |
| Last Update Date | 13/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0880213 | UNITED HEALTHCARE (01) | UT |
| 107007206102 | SELECT HEALTH (01) | UT |
| 1146594 | AFFORDABLE (01) | UT |
| 1435708001 | CIGNA (01) | UT |
| 204371916TBE | EMIA (01) | UT |
| 87028357684601A001 | TRICARE (01) | UT |
| 87028357684604C001 | PGBA (01) | UT |
| G45568 | (02) | UT |
| QM0000053146 | ALTIUS (01) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.