Organization
UTAH SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLA JENSEN RN, BSN (ADMINISTRATOR)
(801) 957-0200
Entity
Organization
Contact information
Practice address
3715 W 4100 S, WEST VALLEY CITY, UT 84120-5537
(801) 957-0200
(801) 957-0201
Mailing address
PO BOX 26211, SALT LAKE CITY, UT 84126-0211
(801) 957-0200
(801) 957-0201
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
UT
Other
Enumeration date
04/12/2006
Last updated
04/20/2008
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