Individual
DR. BENJAMIN JAMES WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5848 FASHION BLVD, STE 120, MURRAY, UT 84107-6121
(801) 314-4100
(801) 314-4919
Mailing address
PO BOX 30180, STE 120, SALT LAKE CITY, UT 84130-0180
(801) 647-1339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6020462-1205
UT
Other
Enumeration date
05/13/2008
Last updated
02/12/2016
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