Organization
COREY D ANDEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY D ANDEN MD (PRESIDENT)
(801) 387-2090
Entity
Organization
Contact information
Practice address
4403 HARRISON BLVD, #1875, OGDEN, UT 84403-3271
(801) 387-2090
(801) 387-6606
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
01/08/2010
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