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
- City
- South Ogden
- 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 Surgical — Ambulatory Surgical |
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| Surgery Center at South Ogden, LLC | |
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