Individual
TIMOTHY S HOUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD # D, #1875, OGDEN, UT 84403-3271
(801) 732-5900
(801) 387-6606
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1835611205
UT
208VP0000X
Pain Medicine Physician
Primary
1835611205
UT
Other
Enumeration date
07/11/2005
Last updated
09/05/2019
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