EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC
Ambulatory Health at 900, Salt Lake City, UT

License number
Utah 20042178
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: EVON PEFAUR
Title: BILLING MGR
Phone: (801) 328-2522
Address
Address
22 S 900 E STE 2, Salt Lake City, UT 84102
National Provider ID: 1790906204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC at bizstanding.com

EAR, NOSE & THROAT SURGERY CENTER OF UTAH, LLC

22 S 900 E, Salt Lake City, UT 84102

Registration:
Aug 26, 2004
State ID:
5717676-0160
Business type:
LLC - Domestic
Agent:
Steven Miller,22 S 900 E, Salt Lake City, UT 84102 (Physical)

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