Pediatric Care Of Ogden
Pediatrics in South Ogden, UT. Organization (NPI-2).
NPI number1457733503
StatusActive
Last updated in NPPESJun 25, 2015
Details
- NPI
- 1457733503
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Care Of Ogden
- Organization subpart
- No
- Enumeration date
- Jun 25, 2015
- Last updated
- Jun 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 9433354-4408 | UT | Yes |
Practice location
1740 Combe RdSuite 5
South Ogden, UT 84403-5037
Phone 801-621-1701
Mailing address
1740 Combe RdSuite 5
South Ogden, UT 84403-5037
Authorized official
Meagan A Barrows
Aprn
8016211701
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