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Coral Desert Surgery Center LLC

NPI #1346205176 in St George, Utah

Provider Information

NPI Number
1346205176
Entity Type
Organization
Organization Name
Coral Desert Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Apr 17, 2006
Last Updated
Jun 9, 2017

Practice Location

Address
1490 E FOREMASTER DR
Address 2
BUILDING C
City
St George
State
Utah
ZIP Code
84790-4488
Phone
(435) 674-5230

Authorized Official

Name
DAN NIELSON
Title
ADMINISTRATOR
Phone
(435) 674-5230

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical

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