Organization
SURGERY CENTER AT GROVE CREEK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SHELTON (BOARD MEMBER)
(801) 772-5050
Entity
Organization
Contact information
Practice address
2168 W GROVE PKWY STE 101, PLEASANT GROVE, UT 84062-6745
(801) 772-5050
Mailing address
2168 W GROVE PKWY STE 101, PLEASANT GROVE, UT 84062-6745
(801) 772-5050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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