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Individual

DR. KING HOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4403 HARRISON BLVD, STE 4875, OGDEN, UT 84403-3271
(801) 387-4500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-4500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
963252421205
UT

Other

Enumeration date
07/15/2006
Last updated
07/03/2008
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