Back to Search
FORM SURGERY CENTER LLC
Ambulatory Surgical Clinic/Center
NPI: 1457863912Organization
Specialties, Licenses & Credentials
Ambulatory Surgical Clinic/CenterPrimary
Clinic/Center — Ambulatory Surgical
Code: 261QA1903X
4972C(UT)
Contact & Hours
- Address
- 6322 S 3000 E STE 170
SALT LAKE CITY, UT 84121 - Phone
- (801) 513-3223
Quick Facts
- NPI
- 1457863912
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
Are you this provider?
Claim Your Profile