Individual
NOAH JOHN ELO ERB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 VILLAGE DR, OGDEN, UT 84408-5150
(801) 626-7656
Mailing address
1435 VILLAGE DR, OGDEN, UT 84408-2805
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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