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Organization
CROSS COUNTRY HOLDINGS, P.C.
Active
Organization
CROSS COUNTRY HOLDINGS, P.C.
Active
Other names
OC Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KOCOUR D.C. (PRESIDENT)
(801) 689-0123
Entity
Organization
Contact information
Practice address
1900 WASHINGTON BLVD, STE 104, OGDEN, UT 84401-6849
(801) 612-1085
(801) 337-1104
Mailing address
1900 WASHINGTON BLVD, STE 104, OGDEN, UT 84401-6849
(801) 612-1085
(801) 337-1104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7387084-1202
UT
111N00000X
Chiropractor
7387085-1202
UT
207Q00000X
Family Medicine Physician
Primary
4891288-1204
UT
363A00000X
Physician Assistant
9579184-1206
UT
Other
Enumeration date
11/24/2015
Last updated
09/22/2016
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