Individual
DR. SUSAN JESPERSEN AGRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5275 ADAMS AVE PKWY, SUITE A, OGDEN, UT 84405-6748
(801) 430-8406
Mailing address
1322 32ND ST, OGDEN, UT 84403-0902
(801) 430-8406
(801) 393-6092
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
7259622-0504
UT
213ES0131X
Foot Surgery Podiatrist
N004009
NY
Other
Enumeration date
09/18/2008
Last updated
07/30/2015
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