Organization
DAVIS SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANECE FICKETT FICKETT RN (ADMINISTRATOR)
(801) 773-3339
Entity
Organization
Contact information
Practice address
1544 W ANTELOPE DR, LAYTON, UT 84041-1146
(801) 773-3339
Mailing address
1544 W ANTELOPE DR, LAYTON, UT 84041-1146
(801) 773-3339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2004-ASF-909
UT
Other
Enumeration date
12/15/2005
Last updated
03/28/2012
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