Organization
SPRING CREEK SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON C. ALLEN DDS (MANAGER)
(435) 213-6563
Entity
Organization
Contact information
Practice address
65 NORTH GATEWAY DRIVE, SUITE 3, PROVIDENCE, UT 84332
(435) 213-6563
Mailing address
65 NORTH GATEWAY DRIVE, SUITE 3, PROVIDENCE, UT 84332
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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