Individual
EBIFADE IMARAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14033302-1204
UT
Other
Enumeration date
03/21/2019
Last updated
07/16/2024
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