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Organization

INNOVATION SURGICAL SPECIALTIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON AVEN DNAP, CRNA (CHIEF STRATEGY OFFICER)
(503) 741-7755
Entity
Organization

Contact information

Practice address
836 S ANGEL ST, LAYTON, UT 84041-3687
(801) 540-7800
Mailing address
836 S ANGEL ST, LAYTON, UT 84041-3687
(801) 540-7800

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12194550-0160
STATE OF UTAH
UT
Enumeration date
10/13/2021
Last updated
10/13/2021
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