# INNOVATION SURGICAL SPECIALTIES, LLC

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

## Provider details

- **NPI number:** 1588326870
- **Authorized official:** DR. BRANDON AVEN DNAP, CRNA (CHIEF STRATEGY OFFICER)
- **Authorized official phone:** (503) 741-7755

## Contact information

- **Practice address:** 836 S ANGEL ST, LAYTON, UT 84041-3687
- **Practice address phone:** (801) 540-7800
- **Mailing address:** 836 S ANGEL ST, LAYTON, UT 84041-3687
- **Mailing address phone:** (801) 540-7800

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 10/13/2021