# JBR SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1326660374
- **Authorized official:** SANDRA WOODS (OR MANAGER)
- **Authorized official phone:** (801) 261-2000

## Contact information

- **Practice address:** 650 E 4500 S STE 100, SALT LAKE CITY, UT 84107-4536
- **Practice address phone:** (801) 261-2000
- **Mailing address:** 650 E 4500 S STE 100, SALT LAKE CITY, UT 84107-4536
- **Mailing address phone:** (801) 261-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2020
- **Last updated:** 06/24/2020