Individual
DR. JON DAVID OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 S MAIN ST, RICHFIELD, UT 84701-2698
(435) 896-5300
Mailing address
3 S MAIN ST, RICHFIELD, UT 84701-2698
(435) 896-5300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1568
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4712584
CIGNA LOVELACE
NM
01
—
77460
PRESBYTERIAN
NM
01
—
NM00KK65
BLUE CROSS BLUE SHIELD
NM
Enumeration date
11/27/2006
Last updated
10/08/2014
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