Organization
OHANA PREVENTATIVE MEDICINE LLC
Active
Other names
OPM
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON S. OAKEY FNP-BC (OWNER)
(801) 668-1967
Entity
Organization
Contact information
Practice address
3860 JACKSON AVE STE 7, OGDEN, UT 84403-1979
(801) 664-9501
Mailing address
3860 JACKSON AVE STE 7, OGDEN, UT 84403-1979
(801) 664-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2854334405
UT
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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