Organization
CROSS COUNTRY HOLDINGS, P.C.
Active
Other names
OC Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KOCOUR D.C. (PRESIDENT)
(801) 689-0123
Entity
Organization
Contact information
Practice address
1900 WASHINGTON BLVD, STE 104, OGDEN, UT 84401-6849
(801) 612-1085
(801) 337-1104
Mailing address
1900 WASHINGTON BLVD, STE 104, OGDEN, UT 84401-6849
(801) 612-1085
(801) 337-1104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7387084-1202
UT
111N00000X
Chiropractor
7387085-1202
UT
207Q00000X
Family Medicine Physician
Primary
4891288-1204
UT
363A00000X
Physician Assistant
9579184-1206
UT
Other
Enumeration date
11/24/2015
Last updated
09/22/2016
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