Organization
SALT LAKE ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART L ELLINGTON DR (PRESIDENT)
(801) 364-5767
Entity
Organization
Contact information
Practice address
24 S 1100 E STE 103, SALT LAKE CITY, UT 84102-1592
(801) 355-2987
(801) 531-9704
Mailing address
24 SOUTH 1100 EAST #103, SALT LAKE CITY, UT 84102
(801) 355-2987
(801) 531-9704
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2006-ASF-332
UT
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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