Organization
HTIPHYSICIAN SERVICES BUSINESS OFFICE
Active
Other names
South Ogden Center for Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN SUMMERS (OFFICE MANAGER)
(801) 479-7771
Entity
Organization
Contact information
Practice address
5740 CRESTWOOD DR, OGDEN, UT 84405-4869
(801) 479-7771
(801) 479-7795
Mailing address
5740 CRESTWOOD DR, OGDEN, UT 84405-4869
(801) 479-7771
(801) 479-7795
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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