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Organization

WASATCH OPTIMAL WELLNESS CLINIC LLC

Active
Other names
WOW Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN FOGG MD (MEDICAL DIRECTOR / COO)
(435) 800-6969
Entity
Organization

Contact information

Practice address
1716 N HIGHWAY 40 STE 200, HEBER CITY, UT 84032-4677
(435) 800-6969
Mailing address
1716 N HIGHWAY 40 STE 200, HEBER CITY, UT 84032-4677
(435) 800-6969

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
04/05/2024
Last updated
09/22/2025
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