# ALLAN C EDSON, D.O., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407242993
- **Authorized official:** ALLAN C EDSON D.O. (OWNER)
- **Authorized official phone:** (801) 294-5224

## Contact information

- **Practice address:** 425 MEDICAL DR, SUITE 207, BOUNTIFUL, UT 84010-4945
- **Practice address phone:** (801) 294-5224
- **Practice address fax:** (801) 294-5269
- **Mailing address:** 425 MEDICAL DR, SUITE 207, BOUNTIFUL, UT 84010-4945
- **Mailing address phone:** (801) 294-5224
- **Mailing address fax:** (801) 294-5269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 3495321204 | UT | Yes |

## Other

- **Enumeration date:** 04/10/2015
- **Last updated:** 04/10/2015