Organization
UTAH-MUA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE N NGUYEN (MANAGER)
(801) 281-0555
Entity
Organization
Contact information
Practice address
8822 S REDWOOD RD, SUITE C113, WEST JORDAN, UT 84088-9336
(801) 466-7246
(801) 281-0444
Mailing address
32 W 6400 S, SUITE 200, MURRAY, UT 84107-5607
(801) 281-0555
(801) 281-0444
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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