Organization
UNION PARK SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT THOMAS HARRISON (MANAGER)
(801) 656-6521
Entity
Organization
Contact information
Practice address
7001 S 900 E STE 100, MIDVALE, UT 84047-1700
(801) 656-6521
Mailing address
2075 E KENSINGTON AVE, SALT LAKE CITY, UT 84108-2627
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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