South Town Surgery Group, LLC
NPI #1992182216 in Sandy, Utah
Provider Information
- NPI Number
- 1992182216
- Entity Type
- Organization
- Organization Name
- South Town Surgery Group, LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- May 6, 2015
- Last Updated
- May 6, 2015
Practice Location
Authorized Official
- Name
- CAROLINA DELA PAVA
- Title
- ADMINISTRATOR
- Phone
- (501) 404-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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