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Organization

ACADEMY OF NATURAL MEDICINE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNI BENHARD (MANAGER)
(801) 394-8866
Entity
Organization

Contact information

Practice address
1405 WASHINGTON BLVD, OGDEN, UT 84404-5746
(801) 394-8866
Mailing address
1405 WASHINGTON BLVD, 1405 WASHINGTON BLVD, OGDEN, UT 84404-5746
(801) 394-8866
(801) 393-7610

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
952871711202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870395551005
UT
Enumeration date
01/12/2011
Last updated
08/22/2011
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