Organization
OGDEN ORTHOPAEDIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK W CROSLAND (PRESIDENT)
(801) 479-9860
Entity
Organization
Contact information
Practice address
6112 S 1550 E, SUITE 202, OGDEN, UT 84405-5608
(801) 479-9860
(801) 476-8821
Mailing address
6112 S 1550 E, SUITE 202, OGDEN, UT 84405-5608
(801) 479-9860
(801) 476-8821
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
04/10/2008
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