# SURGICAL SPECIALTIES LLC

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

## Provider details

- **NPI number:** 1346611035
- **Authorized official:** MATT GERTGE (MEMBER)
- **Authorized official phone:** (801) 430-0405

## Contact information

- **Practice address:** 2940 N CHURCH ST, LAYTON, UT 84040-6614
- **Practice address phone:** (801) 430-0405
- **Mailing address:** 1086 E HIGHWAY 193, LAYTON, UT 84040-8572

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/07/2015