Organization
CORPUS SANUM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M SHEPHERD PT (PHYSICAL THERAPIST)
(801) 781-0651
Entity
Organization
Contact information
Practice address
1276 WALL AVE, SUITE #2, OGDEN, UT 84404-5657
(801) 781-0651
Mailing address
1276 WALL AVE, SUITE #2, OGDEN, UT 84404-5657
(801) 781-0651
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4929944-2401
UT
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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