# SURGERY CENTER ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1245773399
- **Authorized official:** MARK D ALLEN MBA/MHS (OWNER)
- **Authorized official phone:** (801) 879-1048

## Contact information

- **Practice address:** 5801 S FASHION BLVD, SUITE 190, MURRAY, UT 84107-6159
- **Practice address phone:** (801) 983-6819
- **Mailing address:** 5801 S FASHION BLVD, SUITE 190, MURRAY, UT 84107-6159
- **Mailing address phone:** (801) 983-6819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 199980-4406 | UT | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 11/21/2016