Individual
MR. CHARLES LOREN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1004 12TH ST, OGDEN, UT 84404-5143
(801) 791-0589
Mailing address
1439 OLYMPIC LN, OGDEN, UT 84404-6074
(801) 791-0589
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5692950-4701
UT
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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