Organization
EASTERN UTAH SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E HANSEN MD (MEDICAL DIRECTOR)
(435) 637-1744
Entity
Organization
Contact information
Practice address
200 N FAIRGROUNDS RD STE 1, PRICE, UT 84501-4228
(435) 637-1744
(435) 637-1123
Mailing address
200 N FAIRGROUNDS RD STE 1, PRICE, UT 84501-4228
(435) 637-1744
(435) 637-1123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
01/11/2010
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