Individual
ABBEY COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6028 S RIDGELINE DR STE 200, OGDEN, UT 84405-6906
(801) 917-8500
Mailing address
6028 S RIDGELINE DR STE 200, OGDEN, UT 84405-6906
(801) 917-8500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11819270-1206
UT
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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