Organization
GRANITE PEAKS SURGICENTER, LLC
Active
Other names
Granite Peaks Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
10150 S PETUNIA WAY STE B, SANDY, UT 84092-4328
(801) 742-1914
Mailing address
10150 S PETUNIA WAY STE B, SANDY, UT 84092-4328
(801) 742-1914
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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