Organization
WASATCH VASCULAR CENTER ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization
Contact information
Practice address
3702 S STATE ST, SALT LAKE CITY, UT 84115-5078
(801) 281-0027
Mailing address
40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
03/13/2025
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