Individual
DR. JEREMY DAVID HUNTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(406) 403-1627
Mailing address
6065 S 2400 E, OGDEN, UT 84403-5011
(406) 403-1627
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15303
NH
207L00000X
Anesthesiology Physician
Primary
9701183-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2009
Last updated
08/26/2016
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