Organization
UTAH HEMATOLOGY ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C PITTAM MHA (ADMINISTRATOR)
(801) 476-1777
Entity
Organization
Contact information
Practice address
5405 S 500 E, SUITE 202, OGDEN, UT 84405-6957
(801) 476-1777
(801) 479-1479
Mailing address
5290 S 400 E, OGDEN, UT 84405-7194
(801) 476-1777
(801) 479-1479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1001556
UT
Other
Enumeration date
09/04/2007
Last updated
06/16/2014
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