Organization
CEDAR ORTHOPAEDIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARRY (ADMINISTRATOR)
(435) 586-5131
Entity
Organization
Contact information
Practice address
1335 NORTHFIELD RD, STE 150, CEDAR CITY, UT 84721-9390
(435) 586-5131
(435) 865-9874
Mailing address
1335 NORTHFIELD RD, STE 150, CEDAR CITY, UT 84721-9390
(435) 586-5131
(435) 865-9874
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2017-ASF-62751
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194815639
—
UT
Enumeration date
10/13/2006
Last updated
12/06/2021
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