Organization
MT OGDEN UTAH SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 479-4470
Mailing address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 479-4470
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2011-ASF-880
UT
Other
Enumeration date
01/02/2013
Last updated
04/05/2018
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