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Individual

BEN JAMES HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 993-1566
(801) 733-5618
Mailing address
1954 FORT UNION BLVD, SALT LAKE CITY, UT 84121-6800
(801) 993-9500

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3082938-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107011934101
IHC
UT
01
2000033
UNITED
UT
01
633027
DESERET MUTUAL
UT
01
67077
PEHP
UT
05
HEALTHY U
UT
01
PRA06090
MOLINA
UT
01
QM0000056483
ALTIUS
UT
Enumeration date
07/24/2006
Last updated
07/09/2007
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