NPI 1104881499 · live from the CMS NPI Registry
Jacques L. D'Astous, M.D.
Orthopaedic Surgery in Salt Lake City, UT. National Provider Identifier 1104881499, active.
NPI record
| NPI | 1104881499 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | Fairfax Road At Virginia Street, Shriners Hospitals For Children, Salt Lake City, UT 84103 |
| Practice phone | 801-536-3600 |
| Enumerated | April 19, 2006 |
| Last updated | September 15, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 294318-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.