Organization
CARL KENT HEBDON MD PC
Active
Other names
Center for Performance and Longevity
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KENT HEBDON MD (MEDICAL DIRECTOR)
(801) 547-1991
Entity
Organization
Contact information
Practice address
2040 MURRAY HOLLADAY RD, SUITE 209, SALT LAKE CITY, UT 84117-5185
(801) 273-0306
(801) 273-0317
Mailing address
PO BOX 1797, LAYTON, UT 84041-6797
(801) 547-1991
(801) 547-1929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160845-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529602584001
—
UT
Enumeration date
10/05/2006
Last updated
09/17/2008
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