Organization
SURGERY CENTER AT SOUTH OGDEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY BURGESS (BOARD MEMBER)
(801) 317-4896
Entity
Organization
Contact information
Practice address
955 CHAMBERS ST STE 101, SOUTH OGDEN, UT 84403-4877
(801) 317-4896
Mailing address
955 CHAMBERS ST STE 101, SOUTH OGDEN, UT 84403-4877
(801) 317-4896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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