Organization
MDSI PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CALLAWAY FRYER FRYER (COO)
(801) 337-8627
Entity
Organization
Contact information
Practice address
1701 W 2450 S, OGDEN, UT 84401-4501
(801) 337-8627
(801) 337-8627
Mailing address
PO BOX 9039, OGDEN, UT 84409-0039
(801) 337-8627
(801) 337-8627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
202C00000X
Independent Medical Examiner Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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