Individual
JONI W HOUGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8846 S REDWOOD RD STE E121, WEST JORDAN, UT 84088-9366
(801) 569-1999
(801) 569-2001
Mailing address
PO BOX 198560, ATLANTA, GA 30384-8560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
312402-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164672770
—
UT
05
—
D0238
—
UT
Enumeration date
06/20/2006
Last updated
02/09/2022
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