Organization
CITY CREEK SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL COTTAM MD (OWNER)
(801) 746-2885
Entity
Organization
Contact information
Practice address
1046 E 100 S, SUITE D, SALT LAKE CITY, UT 84102-1520
(801) 746-2885
Mailing address
1046 E 100 S, SUITE D, SALT LAKE CITY, UT 84102-1520
(801) 746-2885
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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