Organization · Type 2 NPI

Provo Surgery Center, LLC

Ambulatory Surgical Clinic/Center · Provo, UT

NPI number 1639853757 Active

Practice location

1157 N 300 W
Provo, UT 84604-6124

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

34 other providers at this address

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About NPI 1639853757

Provo Surgery Center, LLC's National Provider Identifier is 1639853757, issued on Jun 9, 2023. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Provo, UT. The record was last updated on Nov 25, 2025.