Family Surgical Suite
NPI #1508040221 in West Jordan, Utah
Provider Information
- NPI Number
- 1508040221
- Entity Type
- Organization
- Organization Name
- Family Surgical Suite
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 18, 2007
- Last Updated
- Dec 18, 2007
Practice Location
- Address
- 8822 S REDWOOD RD
- Address 2
- SUITE 113
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-9336
- Phone
- (801) 495-1064
Authorized Official
- Name
- MR. BRIAN JAN DEHART
- Title
- MANAGING MEMBER
- Phone
- (801) 495-1064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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