FORM SURGERY CENTER LLC
Clinic/Center - Ambulatory Surgical
Active
Organization
NPI: 1457863912
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Ambulatory Surgical | 261QA1903X | Yes | 4972C (UT) |
Frequently Asked Questions
NPI 1457863912 is the National Provider Identifier for FORM SURGERY CENTER LLC, a Clinic/Center - Ambulatory Surgical provider located in Salt Lake City, UT. This NPI was enumerated on October 24, 2017.
Quick Facts
- NPI
- 1457863912
- Type
- Organization
- Enumerated
- Oct 24, 2017
- Last Updated
- Apr 5, 2021
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