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Organization
OGDEN INTERNAL MEDICINE AND UROLOGY
Active
Organization
OGDEN INTERNAL MEDICINE AND UROLOGY
Active
Other names
Layton Family Speciality
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE KANE VP (VICE PRESIDENT)
(801) 568-5960
Entity
Organization
Contact information
Practice address
2950 N CHURCH STREET, LAYTON, UT 84040
(801) 546-9441
Mailing address
2950 N CHURCH STREET, 301, LAYTON, UT 84040
(801) 547-0747
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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