Organization
WILLARD Z MAUGHAN M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD Z MAUGHAN M.D. (PRESIDENT)
(801) 475-5210
Entity
Organization
Contact information
Practice address
6028 S RIDGELINE DR, STE 200, SOUTH OGDEN, UT 84405-6914
(801) 475-5210
(801) 475-5209
Mailing address
6028 S RIDGELINE DR, STE 200, SOUTH OGDEN, UT 84405-6914
(801) 475-5210
(801) 475-5209
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1614591205
UT
Other
Enumeration date
11/03/2006
Last updated
12/16/2009
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