# FAMILY SURGICAL SUITE

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

## Provider details

- **NPI number:** 1811146384
- **Authorized official:** MRS. DAWN DEHART (ADMIN.)
- **Authorized official phone:** (801) 495-1064

## Contact information

- **Practice address:** 151 E 5600 S STE 104, MURRAY, UT 84107-8140
- **Practice address phone:** (801) 495-1064
- **Practice address fax:** (801) 523-1139
- **Mailing address:** PO BOX 2265, SANDY, UT 84091-2265
- **Mailing address phone:** (801) 495-1064
- **Mailing address fax:** (801) 523-1139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | UT | Yes |

## Other

- **Enumeration date:** 09/09/2008
- **Last updated:** 09/09/2008