Organization
DIABETES RELIEF UTAH OGDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LONG (PCA/CREDENTIALING)
(385) 515-4100
Entity
Organization
Contact information
Practice address
2086 N 1700 W STE D, LAYTON, UT 84041
(385) 515-4100
(385) 351-1150
Mailing address
2086 NORTH 1700 WEST, STE. D, LAYTON, UT 84041
(385) 515-4100
(385) 351-1150
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
TX
Other
Enumeration date
04/26/2017
Last updated
08/15/2018
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