Organization
METRODORA ASC, LLC
Active
Other names
Metrodora CAI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA A. PACE MD, PHD (CEO, METRODORA INSTITUTE)
(385) 430-1431
Entity
Organization
Contact information
Practice address
3535 S MARKET ST, WEST VALLEY CITY, UT 84119-3617
(801) 907-1796
Mailing address
3535 S MARKET ST, WEST VALLEY CITY, UT 84119-3617
(203) 858-8679
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
01/07/2023
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