Park City Surgery Center LLC
Clinic/Center, Ambulatory Surgical in Park City, UT. Organization (NPI-2).
NPI number1407584592
StatusActive
Last updated in NPPESNov 25, 2022
Details
- NPI
- 1407584592
- Entity type
- Organization (NPI-2)
- Legal business name
- Park City Surgery Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2022
- Certification date
- Nov 15, 2022
- Last updated
- Nov 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
800 Round Valley DrPark City, UT 84060-7521
Phone 435-658-7000
Mailing address
Po Box 30180Salt Lake City, UT 84130-0180
Authorized official
Lori Weston
Administrator
4356587000
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