Individual
GRACE M O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6112 S 1550 E, SOUTH OGDEN, UT 84405-5007
(801) 475-3800
(801) 475-3801
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3800
(801) 475-3801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
180186-1204
UT
Other
Enumeration date
10/04/2005
Last updated
01/17/2017
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