| NPI | 1164647707 |
|---|---|
| Doing Business As | INTERMOUNTAIN SURGERY CENTER - AVENUES |
| Entity Type | Organization |
| Authorized Contact | JP VALIN Chief Clinical Officer 801-442-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-07-29 |