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Organization

SURGERY CENTER ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK D ALLEN MBA/MHS (OWNER)
(801) 879-1048
Entity
Organization

Contact information

Practice address
5801 S FASHION BLVD, SUITE 190, MURRAY, UT 84107-6159
(801) 983-6819
Mailing address
5801 S FASHION BLVD, SUITE 190, MURRAY, UT 84107-6159
(801) 983-6819

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
199980-4406
UT

Other

Enumeration date
11/21/2016
Last updated
11/21/2016
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