FORM SURGERY CENTER LLC

Ambulatory Surgical Clinic/Center · SALT LAKE CITY, UT

Organization Active NPI 1457863912

Taxonomy & licensure

Specialty	Code	Primary	License	State
Ambulatory Surgical Clinic/Center	261QA1903X	✓	4972C	UT

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.