# OGDEN INTERNAL MEDICINE AND UROLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Layton Family Speciality
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083998603
- **Authorized official:** MR. DAVE KANE VP (VICE PRESIDENT)
- **Authorized official phone:** (801) 568-5960

## Contact information

- **Practice address:** 2950 N CHURCH STREET, LAYTON, UT 84040
- **Practice address phone:** (801) 546-9441
- **Mailing address:** 2950 N CHURCH STREET, 301, LAYTON, UT 84040
- **Mailing address phone:** (801) 547-0747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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