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Individual

LUKE W EDELMAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3075
(801) 475-3076
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3414

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14195356-1205
UT
207YX0901X
Otology & Neurotology Physician
14195356-1205
UT

Other

Enumeration date
07/05/2016
Last updated
01/10/2025
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