Organization
WALTER E BRODIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER E BRODIS MD (OWNER)
(801) 721-4587
Entity
Organization
Contact information
Practice address
1893 E SKYLINE DR, OGDEN, UT 84403-5218
(801) 721-4587
Mailing address
1893 E SKYLINE DR, OGDEN, UT 84403-5218
(801) 721-4587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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