Organization
OGDEN INTERNAL MEDICINE & UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VP)
(615) 373-7630
Entity
Organization
Contact information
Practice address
5405 S 500 E STE 203, OGDEN, UT 84405-7417
(801) 475-8600
(801) 475-8686
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003001553
—
UT
Enumeration date
09/07/2007
Last updated
01/02/2023
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