| NPI | 1104301613 |
|---|---|
| Doing Business As | ADVANCED SURGERY CENTER OF NORTHERN UTAH |
| Entity Type | Organization |
| Authorized Contact | MARIELLE WHITLOCK Administrator 435-760-3734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2021-09-23 |