# MT OGDEN UTAH SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1720324296
- **Authorized official:** DAVID MCKNIGHT (VP/CFO)
- **Authorized official phone:** (972) 789-2816

## Contact information

- **Practice address:** 4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
- **Practice address phone:** (801) 479-4470
- **Mailing address:** 4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
- **Mailing address phone:** (801) 479-4470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2011-ASF-880 | UT | Yes |

## Other

- **Enumeration date:** 01/02/2013
- **Last updated:** 09/10/2026
