| NPI | 1063082980 |
|---|---|
| Doing Business As | INTERMOUNTAIN SURGERY CENTER - LOGAN |
| Entity Type | Organization |
| Authorized Contact | BRANDON MCBRIDE Administrator 435-890-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-03-11 |