Organization
IAA OGDEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ANDERSON (PRESIDENT)
(801) 476-0052
Entity
Organization
Contact information
Practice address
5929 FASHION POINT DR, #101, SOUTH OGDEN, UT 84403-4672
(801) 476-0052
(801) 476-0064
Mailing address
5929 FASHION POINT DR, #101, SOUTH OGDEN, UT 84403-4672
(801) 476-0052
(801) 476-0064
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2012
Last updated
12/27/2012
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