Individual
DR. STEVEN JONES WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3590 HARRISON BLVD, #G-1, OGDEN, UT 84403-2060
(801) 627-2122
(801) 627-2125
Mailing address
3590 HARRISON BLVD, #G-1, OGDEN, UT 84403-2060
(801) 627-2122
(801) 627-2125
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
104209-0501
UT
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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