Organization
MOUNTAIN WEST SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
1551 SOUTH RENAISSANCE TOWNE DR, SUITE 200, BOUNTIFUL, UT 84010-7668
(801) 383-1111
(801) 383-1115
Mailing address
1551 SOUTH RENAISSANCE TOWNE DR, SUITE 200, BOUNTIFUL, UT 84010-7668
(801) 383-1111
(801) 383-1115
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
04/06/2018
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