Organization
ENHANCED DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN B COWLEY (MANAGING MEMBER)
(385) 492-4064
Entity
Organization
Contact information
Practice address
5504 HOLLY CT, OGDEN, UT 84403-5153
(385) 492-4064
(801) 689-3277
Mailing address
PO BOX 150524, OGDEN, UT 84415-0524
(385) 492-4064
(801) 823-0779
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/25/2023
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