| NPI | 1104401561 |
|---|---|
| Doing Business As | INTERMOUNTAIN SURGERY CENTER - ST. GEORGE |
| Entity Type | Organization |
| Authorized Contact | MITCHELL CLOWARD Administrator 435-251-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2024-02-29 |