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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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