Individual
PAIGE PHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 VILLAGE DR, DEPT. 2801, OGDEN, UT 84408-5150
(801) 626-7771
Mailing address
PO BOX 515, EDEN, UT 84310-0515
(801) 745-5667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
UT
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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