State Of Utah, Department Of Health
Specialty details in registry · Ogden, UT
At a glance
2540 Washington Blvd Ste 122, Ogden, UT 84401-3112
NPPES record updated Sep 19, 2019. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2540 Washington Blvd Ste 122Ogden, UT 84401-3112
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 252Y00000X
- Enumeration date
- Sep 19, 2019
- Record updated
- Sep 19, 2019
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
252Y00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2540 Washington Blvd Ste 122Ogden, UT 84401-3112
- Phone
- (801) 626-0256
Mailing address
PO BOX 144720SALT LAKE CITY, UT 841144720
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