Organization
PEDIATRIC CARE OF OGDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN VAWTER (PRACTICE MANAGER)
(801) 621-1701
Entity
Organization
Contact information
Practice address
3955 HARRISON BLVD, L-1, OGDEN, UT 84403-2313
(801) 621-1701
(801) 393-9411
Mailing address
3955 HARRISON BLVD, L-1, OGDEN, UT 84403-2313
(801) 621-1701
(801) 393-9411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164699-1205
UT
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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