Organization
OGDEN REG MED CNTR PROFESSIONAL BILLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MCKINLEY (CFO)
(801) 268-7157
Entity
Organization
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2468
(801) 479-2936
Mailing address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2468
(801) 479-2936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
01/11/2008
Last updated
04/20/2008
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