Organization
SUSAN C HUSTAD MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C HUSTAD MD (PRESIDENT)
(801) 475-8600
Entity
Organization
Contact information
Practice address
425 E 5350 S, STE 335, OGDEN, UT 84405-6946
(801) 475-8600
(801) 475-8686
Mailing address
425 E 5350 S, STE 335, OGDEN, UT 84405-6946
(801) 475-8600
(801) 475-8686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
377470-1205
UT
Other
Enumeration date
04/26/2007
Last updated
08/16/2007
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