Organization
KENNETH H. WADSWORTH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH H. WADSWORTH M.D. (PRESIDENT)
(801) 387-4550
Entity
Organization
Contact information
Practice address
4403 HARRISON BLVD, SUITE 4400, OGDEN, UT 84403-3271
(801) 387-4550
(801) 387-4565
Mailing address
4403 HARRISON BLVD, SUITE 4400, OGDEN, UT 84403-3271
(801) 387-4550
(801) 387-4565
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4742437-1205
UT
Other
Enumeration date
01/17/2008
Last updated
01/22/2008
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