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Organization

INNOVATION SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA COX (ADMINISTRATOR)
(303) 332-4170
Entity
Organization

Contact information

Practice address
836 S ANGEL ST STE 103, LAYTON, UT 84041-3687
(303) 332-4170
Mailing address
2201 FM 1339, KINGSBURY, TX 78638-1112
(303) 332-4170

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
08/08/2022
Last updated
10/17/2022
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