Organization
INNOVATIVE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH REMES (ADMIN)
(435) 300-0472
Entity
Organization
Contact information
Practice address
4465 S 900 E STE 275, MILLCREEK, UT 84124-2644
(435) 300-0472
Mailing address
375 WOODLAND DR, PARK CITY, UT 84098-5153
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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