Individual
ALAN R ABDULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, #3620, OGDEN, UT 84404
(801) 387-3525
(801) 387-3530
Mailing address
4403 HARRISON BLVD, #3620, OGDEN, UT 84404
(801) 387-3525
(801) 387-3530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1575571205
UT
207RP1001X
Pulmonary Disease Physician
1575521205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26764692017
—
UT
Enumeration date
06/01/2006
Last updated
09/16/2016
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