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Organization

SOUTH MAIN SURGERY CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN KENT BURTON DPM (PRESIDENT)
(435) 628-2671
Entity
Organization

Contact information

Practice address
754 S MAIN ST, SUITE 3, ST GEORGE, UT 84770-5505
(435) 628-2671
(435) 634-1601
Mailing address
754 S MAIN ST, SUITE 3, ST GEORGE, UT 84770-5505
(435) 628-2671
(435) 634-1601

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QP1100X
Podiatric Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870524073001
UT
Enumeration date
07/13/2006
Last updated
07/17/2015
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