Organization
SURGICAL SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT GERTGE (MEMBER)
(801) 430-0405
Entity
Organization
Contact information
Practice address
2940 N CHURCH ST, LAYTON, UT 84040-6614
(801) 430-0405
Mailing address
1086 E HIGHWAY 193, LAYTON, UT 84040-8572
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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