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Organization

FAMILY SURGICAL SUITE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAWN DEHART (ADMIN.)
(801) 495-1064
Entity
Organization

Contact information

Practice address
151 E 5600 S STE 104, MURRAY, UT 84107-8140
(801) 495-1064
(801) 523-1139
Mailing address
PO BOX 2265, SANDY, UT 84091-2265
(801) 495-1064
(801) 523-1139

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
UT

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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