Individual
DR. WILLARD Z MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6028 S RIDGELINE DR, #200, SOUTH OGDEN, UT 84405-6914
(801) 475-5210
(801) 475-5209
Mailing address
6028 S RIDGELINE DR STE 200, SOUTH OGDEN, UT 84405-6906
(801) 475-5210
(801) 475-5209
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
1614591205
UT
Other
Enumeration date
09/27/2005
Last updated
08/11/2015
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