Organization
ASHDOWN SURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN ASHDOWN M.D. (PRESIDENT)
(435) 723-1114
Entity
Organization
Contact information
Practice address
950 MEDICAL DR, SUITE 104, BRIGHAM CITY, UT 84302-4724
(435) 723-1114
(435) 723-1173
Mailing address
950 MEDICAL DR, SUITE 104, BRIGHAM CITY, UT 84302-4724
(435) 723-1114
(435) 723-1173
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
186908-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529907188006
—
UT
Enumeration date
03/05/2007
Last updated
04/29/2008
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