Organization
JED VANDENBERGHE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JED VANDENBERGHE MD (PRESIDENT)
(801) 278-4693
Entity
Organization
Contact information
Practice address
2160 E 4500 S STE 1, SALT LAKE CITY, UT 84117-4010
(801) 278-4693
Mailing address
PO BOX 150610, OGDEN, UT 84415-0610
(801) 476-9200
(801) 476-9208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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