Individual
JOHN BENSON EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
698 E 12TH ST, STE 300, OGDEN, UT 84404-6200
(801) 782-0300
(801) 782-0305
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32G1852401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821109026
—
UT
Enumeration date
08/31/2006
Last updated
07/09/2010
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