# COREY D ANDEN MD PC

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

## Provider details

- **NPI number:** 1578746160
- **Authorized official:** COREY D ANDEN MD (PRESIDENT)
- **Authorized official phone:** (801) 387-2090

## Contact information

- **Practice address:** 4403 HARRISON BLVD, \#1875, OGDEN, UT 84403-3271
- **Practice address phone:** (801) 387-2090
- **Practice address fax:** (801) 387-6606
- **Mailing address:** PO BOX 27688, SALT LAKE CITY, UT 84127-0688
- **Mailing address phone:** (801) 534-1360
- **Mailing address fax:** (801) 366-9883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 01/08/2010