# PARK CITY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1407584592
- **Authorized official:** LORI WESTON (ADMINISTRATOR)
- **Authorized official phone:** (435) 658-7000

## Contact information

- **Practice address:** 800 ROUND VALLEY DR, PARK CITY, UT 84060-7521
- **Practice address phone:** (435) 658-7000
- **Mailing address:** PO BOX 30180, SALT LAKE CITY, UT 84130-0180

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 11/25/2022