Organization
PHYSICIANS SURGICAL CENTER
Active
Other names
Family Surgical Suite
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J DEHART (OWNER/PRESIDENT)
(801) 816-1187
Entity
Organization
Contact information
Practice address
151 E 5600 S, SUITE 104, MURRAY, UT 84107-6181
(801) 288-1211
(801) 685-2242
Mailing address
PO BOX 2265, SANDY, UT 84091-2265
(801) 495-1064
(801) 523-1139
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864951
—
AZ
Enumeration date
04/26/2006
Last updated
08/22/2020
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