Organization · Type 2 NPI

Bountiful Surgery Center LLC

Ambulatory Surgical Clinic/Center · Bountiful, UT

NPI number 1669415451 Active

Practice location

620 Medical Dr, Suite 200
Bountiful, UT 84010-4908

Fax (801) 296-2122

Mailing address

620 Medical Dr Ste 200
Bountiful, UT 84010-5173

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

24 other providers at this address

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About NPI 1669415451

Bountiful Surgery Center LLC's National Provider Identifier is 1669415451, issued on Jun 13, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Bountiful, UT. The record was last updated on Sep 10, 2026.