GLOBAL MICROSURGICAL CENTER OF PARK CITYLLC NPI 1093110850

NPI Information

GLOBAL MICROSURGICAL CENTER OF PARK CITY,LLC is an ambulatory surgical clinic center in Park City, UT. GLOBAL MICROSURGICAL CENTER OF PARK CITY,LLC NPI is 1093110850. The provider is registered as an organization entity type.

The provider's business location address is:

1820 SIDEWINDER DR STE 200
PARK CITY, UT
ZIP 84060-563
Phone: (407) 718-5549

The provider's authorized official is Denise Masson .
The authorized official title is Manager and has the following contact phone number (407) 718-5549.

The CLIA number assigned to this NPI record is 46D2211560 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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