Individual
KURT D BANGERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, STE 1815, OGDEN, UT 84403-3339
(801) 732-5900
(801) 732-5988
Mailing address
4403 HARRISON BLVD, STE 1815, OGDEN, UT 84403-3339
(801) 732-5900
(801) 732-5988
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K6531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000074606
PTAN
UT
Enumeration date
08/10/2006
Last updated
12/21/2016
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