SOUTH OGDEN SPECIALTY SURGICAL CENTER LLC NPI 1750704920

NPI Information

SOUTH OGDEN SPECIALTY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in South Ogden, UT. SOUTH OGDEN SPECIALTY SURGICAL CENTER, LLC NPI is 1750704920. The provider is registered as an organization entity type.

The provider's business location address is:

955 CHAMBERS ST
SUITE 101
SOUTH OGDEN, UT
ZIP 84403-595
Phone: (801) 317-4896
Fax: (801) 605-8226

The provider's authorized official is Justin Boyd Cowley .
The authorized official title is Administrator and has the following contact phone number (801) 317-4896.

The enumeration date for this NPI number is 1/24/2014 and was last updated on 10/20/2014.

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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