Organization
GRANITE PEAKS ENDOSCOPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HEINER MD (MEDICAL DIRECTOR)
(801) 619-9000
Entity
Organization
Contact information
Practice address
10150 SOUTH PETUNIA WAY, SANDY, UT 84092-4380
(801) 619-9000
(801) 619-9001
Mailing address
10150 S PETUNIA WAY STE B, SANDY, UT 84092-4328
(801) 619-9000
(801) 619-9000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
01/21/2021
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