# OGDEN ORTHOPAEDIC SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1568590743
- **Authorized official:** JACK W CROSLAND (PRESIDENT)
- **Authorized official phone:** (801) 479-9860

## Contact information

- **Practice address:** 6112 S 1550 E, SUITE 202, OGDEN, UT 84405-5608
- **Practice address phone:** (801) 479-9860
- **Practice address fax:** (801) 476-8821
- **Mailing address:** 6112 S 1550 E, SUITE 202, OGDEN, UT 84405-5608
- **Mailing address phone:** (801) 479-9860
- **Mailing address fax:** (801) 476-8821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 04/10/2008