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Organization
NORTHERN UTAH SURGERY CENTER, LLC
Active
Organization
NORTHERN UTAH SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SHELTON (BOARD MEMBER)
(435) 787-7190
Entity
Organization
Contact information
Practice address
55 E GOLF COURSE RD, LOGAN, UT 84321-0001
(435) 787-7190
Mailing address
55 E GOLF COURSE RD, LOGAN, UT 84321-0001
(435) 787-7190
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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