Individual
EDWARD K MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
590 E 100 N, STE 4, PRICE, UT 84501
(435) 637-7551
(435) 636-0499
Mailing address
PO BOX 958, PRICE, UT 84501-0958
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1612038905
UT
Other
Enumeration date
03/28/2006
Last updated
09/27/2014
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