Organization
SELAROM SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS MORALES JR. M.D. (ADMINISTRATOR)
(801) 743-0700
Entity
Organization
Contact information
Practice address
5089 S 900 E, #100, SALT LAKE CITY, UT 84117-5735
(801) 743-0700
(801) 743-0701
Mailing address
5089 S 900 E, #100, SALT LAKE CITY, UT 84117-5735
(801) 743-0700
(801) 743-0701
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
EXEMPT
UT
Other
Enumeration date
01/14/2008
Last updated
10/02/2008
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