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Organization

EDWARD K. MADSEN, M.D., A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD K MADSEN (EMPLOYER)
(435) 637-7551
Entity
Organization

Contact information

Practice address
590 E 100 N STE 4, PRICE, UT 84501-2600
(435) 637-7551
Mailing address
590 E 100 N STE 4, PRICE, UT 84501-2600
(435) 637-7551

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1612038905
UT

Other

Enumeration date
12/14/2008
Last updated
12/14/2008
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