Organization
ALLAN C EDSON, D.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN C EDSON D.O. (OWNER)
(801) 294-5224
Entity
Organization
Contact information
Practice address
425 MEDICAL DR, SUITE 207, BOUNTIFUL, UT 84010-4945
(801) 294-5224
(801) 294-5269
Mailing address
425 MEDICAL DR, SUITE 207, BOUNTIFUL, UT 84010-4945
(801) 294-5224
(801) 294-5269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3495321204
UT
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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