Organization
OGDEN INTERNAL MEDICINE AND UROLOGY
Active
Other names
Layton Family Speciality
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE KANE VP (VICE PRESIDENT)
(801) 568-5960
Entity
Organization
Contact information
Practice address
2950 N CHURCH STREET, LAYTON, UT 84040
(801) 546-9441
Mailing address
2950 N CHURCH STREET, 301, LAYTON, UT 84040
(801) 547-0747
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003001553
—
UT
Enumeration date
09/30/2011
Last updated
09/30/2011
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