# UTAH-MUA

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

## Provider details

- **NPI number:** 1225358765
- **Authorized official:** MRS. JENNIE N NGUYEN (MANAGER)
- **Authorized official phone:** (801) 281-0555

## Contact information

- **Practice address:** 8822 S REDWOOD RD, SUITE C113, WEST JORDAN, UT 84088-9336
- **Practice address phone:** (801) 466-7246
- **Practice address fax:** (801) 281-0444
- **Mailing address:** 32 W 6400 S, SUITE 200, MURRAY, UT 84107-5607
- **Mailing address phone:** (801) 281-0555
- **Mailing address fax:** (801) 281-0444

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/07/2010