# NORTHERN UTAH SURGICENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Surgery Center of Northern Utah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750263745
- **Authorized official:** DAVID MCKNIGHT (VP/CFO)
- **Authorized official phone:** (972) 789-2816

## Contact information

- **Practice address:** 55 E GOLF COURSE RD, LOGAN, UT 84321-0001
- **Practice address phone:** (435) 787-7190
- **Practice address fax:** (435) 787-7197
- **Mailing address:** 55 E GOLF COURSE RD, LOGAN, UT 84321-0001
- **Mailing address phone:** (435) 787-7190
- **Mailing address fax:** (435) 787-7197

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2025
- **Last updated:** 09/10/2026