Individual
KEITH J. OZANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-0001
(801) 585-3580
Mailing address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-0001
(801) 585-3580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12420101-1205
UT
Other
Enumeration date
04/24/2020
Last updated
09/16/2021
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