Organization
NGX LEHI UTAH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB EGBERT DO (OWNER)
(385) 501-2433
Entity
Organization
Contact information
Practice address
1010 S 1100 W, LEHI, UT 84043
(385) 501-2433
Mailing address
1010 S 1100 W, LEHI, UT 84043
(385) 501-2433
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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