Organization
HEALTH CLINICS OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RETT HANSEN (CLINIC COORDINATOR)
(801) 626-3670
Entity
Organization
Contact information
Practice address
2540 WASHINGTON BLVD, #122, OGDEN, UT 84401-3122
(801) 626-3670
(801) 626-3646
Mailing address
2540 WASHINGTON BLVD, #122, OGDEN, UT 84401-3122
(801) 626-3670
(801) 626-3646
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3762451206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225193584
—
UT
Enumeration date
12/27/2006
Last updated
05/09/2012
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