Individual
DANIEL KOTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4403 HARRISON BLVD STE 4410, OGDEN, UT 84403-3323
(801) 387-6850
(801) 387-6855
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13317449-1205
UT
Other
Enumeration date
06/29/2017
Last updated
10/12/2023
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