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Organization
SURGICAL CARE ASSOCIATES
Active
Organization
SURGICAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN R WHITTAKER (ADMINISTRATOR)
(435) 628-4507
Entity
Organization
Contact information
Practice address
1025 EAST 3300 SOUTH, SUITE B, SALT LAKE CITY, UT 84106-4389
(435) 628-4507
(435) 628-3748
Mailing address
P.O. BOX 910735, SAINT GEORGE, UT 84791-0735
(435) 628-4507
(435) 628-3748
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1122810010
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639146817091
—
UT
Enumeration date
06/06/2008
Last updated
09/17/2012
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