SOUTH TOWN SURGERY GROUP, LLC

SANDY, UT
NPI1992182216
Entity TypeOrganization
Authorized ContactCAROLINA DELA PAVA
Administrator
501-404-7246
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2015-05-06
Last Update Date2015-05-06
Business Address
SOUTH TOWN SURGERY GROUP, LLC
10011 S CENTENNIAL PKWY
SANDY, UT 84070-4156
Phone number: 501-404-7246
Mailing Address
SOUTH TOWN SURGERY GROUP, LLC
PO BOX 1944
SANDY, UT 84091-1944
Phone number: 501-404-7246
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