Provider Demographics
NPI:1528251717
Name:PHYSICIANS SURGICAL CENTERS GROUP
Entity type:Organization
Organization Name:PHYSICIANS SURGICAL CENTERS GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:H
Authorized Official - Last Name:SAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-816-1187
Mailing Address - Street 1:151 E 5600 S
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-6181
Mailing Address - Country:US
Mailing Address - Phone:801-495-1064
Mailing Address - Fax:801-523-1139
Practice Address - Street 1:151 E 5600 S
Practice Address - Street 2:SUITE 104
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6181
Practice Address - Country:US
Practice Address - Phone:801-495-1064
Practice Address - Fax:801-523-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty