South Ogden Specialty Surgical Center, LLC

NPI #1750704920 in South Ogden, Utah

Provider Information

NPI Number
1750704920
Entity Type
Organization
Organization Name
South Ogden Specialty Surgical Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 24, 2014
Last Updated
Oct 20, 2014

Practice Location

Address
955 CHAMBERS ST
Address 2
SUITE 101
State
Utah
ZIP Code
84403-4595
Phone
(801) 317-4896

Authorized Official

Name
MR. JUSTIN BOYD COWLEY
Title
ADMINISTRATOR
Phone
(801) 317-4896

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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