Individual provider · NPI-1

Grace M O'Brien, DO

Family Medicine · South Ogden, UT

NPI number1093702003
StatusActive
Last updated in NPPESJan 17, 2017

Details

NPI
1093702003
Entity type
Individual (NPI-1)
Name
Grace M O'Brien
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2005
Last updated
Jan 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine180186-1204UTYes

Practice location

6112 S 1550 E
South Ogden, UT 84405-5007

Phone 801-475-3800 · Fax 801-475-3801

Mailing address

Po Box 5546
Denver, CO 80217-5546

Phone 801-475-3800 · Fax 801-475-3801

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in South Ogden, UT