# SPRING CREEK SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033503420
- **Authorized official:** STANTON C. ALLEN DDS (MANAGER)
- **Authorized official phone:** (435) 213-6563

## Contact information

- **Practice address:** 65 NORTH GATEWAY DRIVE, SUITE 3, PROVIDENCE, UT 84332
- **Practice address phone:** (435) 213-6563
- **Mailing address:** 65 NORTH GATEWAY DRIVE, SUITE 3, PROVIDENCE, UT 84332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2015
- **Last updated:** 03/24/2015
