Abbey Coburn, PA-C
Physician Assistant in Ogden, UT. Individual provider (NPI-1).
NPI number1164020830
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1164020830
- Entity type
- Individual (NPI-1)
- Name
- Abbey Coburn
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2020
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11819270-1206 | UT | Yes |
Practice location
6028 S Ridgeline Dr Ste 200Ogden, UT 84405-6906
Phone 801-917-8500
Mailing address
6028 S Ridgeline Dr Ste 200Ogden, UT 84405-6906
Phone 801-917-8500
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