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Organization
SURGERY CENTER AT GROVE CREEK, LLC
Active
Organization
SURGERY CENTER AT GROVE CREEK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SHELTON (BOARD MEMBER)
(801) 772-5050
Entity
Organization
Contact information
Practice address
2168 W GROVE PKWY STE 101, PLEASANT GROVE, UT 84062-6745
(801) 772-5050
Mailing address
2168 W GROVE PKWY STE 101, PLEASANT GROVE, UT 84062-6745
(801) 772-5050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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