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Organization
JBR SURGICAL CENTER, LLC
Active
Organization
JBR SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA WOODS (OR MANAGER)
(801) 261-2000
Entity
Organization
Contact information
Practice address
650 E 4500 S STE 100, SALT LAKE CITY, UT 84107-4536
(801) 261-2000
Mailing address
650 E 4500 S STE 100, SALT LAKE CITY, UT 84107-4536
(801) 261-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QP1100X
Podiatric Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
05/13/2020
Last updated
06/24/2020
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