| NPI | 1336677277 |
|---|---|
| Doing Business As | AVENUES GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER Clinical Integration SVP 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |