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Surgery Center At Grove Creek, LLC

Clinic/Center, Ambulatory Surgical in Pleasant Grove, UT. Organization (NPI-2).

NPI number1962007757
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1962007757
Entity type
Organization (NPI-2)
Legal business name
Surgery Center At Grove Creek, LLC
Organization subpart
No
Enumeration date
Dec 1, 2020
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical––Yes

Practice location

2168 W Grove Pkwy Ste 101
Pleasant Grove, UT 84062-6745

Phone 801-772-5050

Mailing address

2168 W Grove Pkwy Ste 101
Pleasant Grove, UT 84062-6745

Phone 801-772-5050

Authorized official

Brian Shelton
Board Member
8017725050

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