Organization
413 OGDEN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO MARTINEZ-FERRATE MD (MEDICAL DIRECTOR)
(801) 651-4283
Entity
Organization
Contact information
Practice address
413 WASHINGTON BLVD, OGDEN, UT 84404-6320
(385) 238-4123
(385) 238-4166
Mailing address
754 S 400 E, OREM, UT 84097-6342
(801) 427-9770
(385) 238-4166
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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