Organization
OGDEN EAR NOSE & THROAT PC
Active
Organization
OGDEN EAR NOSE & THROAT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS KENT ANDERSON MD (OWNER)
(801) 476-0342
Entity
Organization
Contact information
Practice address
425 E 5350 S, SUITE 130, OGDEN, UT 84405-6946
(801) 476-0342
(801) 476-9088
Mailing address
425 E 5350 S, SUITE 130, OGDEN, UT 84405-6946
(801) 476-0342
(801) 476-9088
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
952927061205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528150997002
—
UT
Enumeration date
01/03/2008
Last updated
01/03/2008
Update your record
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